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{ <br />UNITED STATES POSTAL SERVICE <br />First -Class Mail <br />Postage & Fees Paid <br />USPS <br />Permit No. G -10 <br />F-Sender: Please print your name, address, and ZIP +4 in this box • <br />State of Colorado <br />Department of Natural Resources _ <br />Division of Reclamation, Mining & Safety <br />1313 Sherman Street, Suite 215 MLT, sb1 <br />Denver, CO 80203 C- 2010-089 <br />CV-2013-003 <br />RECEIED Notice Order to <br />Y pay Fixed Penalty <br />JUL 26 2013 - - <br />DMSIONOFRECLAMATION +ii " ++ll'I +ii1l1l +t+ III+ J++ il'+ " +' +J,'li'�I'fi +� ", +i'f'li'if ►► <br />MINING AND SAFETY <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 />A. Signature <br />� Agent <br />X <br />� ❑ Addressee <br />B. Received (Printed Name) C. Date of Delivery <br />c <br />D. Is delive , address differ" item 1? Ojes <br />If YES, enter delivery addressbelow: <br />WESTERN FUELS- Colorado,LLC I <br />12050 N. PECOS ST., SUITE 100 <br />WESTMINSTER, CO 80234 3. Service Type <br />❑ Certifled 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 7010 1�6d X001 X936 2127 <br />(transfer from service label) __- ---_-- -----_- --- --- __.._. -_, - <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02 -M -1540 <br />