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UNITED STATES POSTAL SERVICE F i' <br />Postage & Fees Paid <br />USPS <br />Permit No. G -10 <br />• Sender: Please print your name, address, and ZIP +4 in this box • <br />• Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />• Print your name and address on the reverse <br />so that we can return the card to you. <br />• Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />Moffat County Commissioners <br />County Commissioner <br />221 W Victory Way <br />Craig, CO 81625 . <br />STATE OF COLORADO <br />DEPARTMENT OF NATURAL RESOURCES O9 MOO <br />DIVISION OF RECLAMATION, MINING & SAFETY E RrGf, <br />1313 SHERMAN STREET, SUITE 215 - _ ����pNO 1 <br />DENVER, CO 80203 -2243 X- 2006- 109�1`+31971� <br />X- 2005- 109 -12, SLA <br />X- 2005 - 109 -11, SL -1 <br />X -2004- 109 -10, SL -1 <br />X- 200.4- 109 -09; Sl_=1 •- <br />ision ''I�ii,: ERR/AHH <br />A. I 7igure <br />X \_ / �i jt C] Agent <br />1 ❑ Addressee <br />B.- Received by (Printed Name) C. D e offp elivery <br />D. Is delivery address different from item 17 ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />❑ Certified Mail ❑ Express Mail <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 7009 2820 0003 5701 2206 <br />(Transfer from service label) <br />PS Form 3811, February 2004 Domestic Return Receipt 102595 -02 -M -1540 <br />