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•i•4y�M .� n,S�M <br />1: - "'c iC t;`i" !i s {;p, <br />UNITEDfSTATE$ �OSTAL SERVICE tFtrst= ClA�fai�` ,,, <br />:Pctt�geB�aF"d "paid <br />0-0 rrAW <br />• Sender: Please print your name, address, and ZIP +4 in box • <br />T_' - 1 6 <br />State of Colorado • a 2014 <br />Department of Natural Resources <br />Division of Reclamation, Mining & Safety Reclamation, <br />1313 Sherman Street, Suite 215 & Safety <br />Denver, CO 80203 - <br />C- 1980 -007 <br />SL -6 <br />inspection Notification <br />■ Complete items 1, 2, and 3. Also complete A. Signature <br />item 4 if Restricted Delivery is desired. r ❑ Agent <br />■ Print your name and address on the reverse X Addressee <br />so that we can return the card to you. B. Received by (Printed Name at f efivery <br />■ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />D. Is delivery address aifferenj from item 1? s <br />1. Article Addressed to: If YES, enter delivery address bed o <br />Delta- Montrose Elect` <br />21191 H -75 Road C 6 <br />Delta, CO 814 3. Service Type <br />❑ Certified Mail <br />❑ Registered <br />❑ Insured Mail <br />❑ Express Mail <br />❑ Return Recelpt for Merchandise <br />❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 7009 2820 0003 5700 5932 <br />(Transfer from service labeq <br />Receipt 102595 -02 -M -1540 <br />