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UNITED STATES POSTAL SERVICE <br />First -Class Mail <br />Postage & Fees Paid <br />LISPS <br />Permit No. G -10 <br />• Sender: Please print your name, address, and ZIP +4 in this box • <br />1� <br />State of Colorado <br />Department of Natural Resources <br />Division of Reclamation, Mining & Safety 13, �'gA�1CC <br />1313 Sherman Street, Suite 215,NO�� <br />Denver, CO 80203 JLE /DI fIlwa <br />C- 1981 -01 <br />SL -16 Insp Notification Letter <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 />Jerod Smith <br />Colorado State Land Board <br />P O Box 1094 <br />Craig, CO 81626 <br />!!li1 ill ,,I, III l,l,jl!'li!ill <br />A. Signature <br />X ❑ AAdddressee <br />B. Received by ( Printed Name) C. Date of 9e9very <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />❑ Cerdfled Maii ❑ Express Maii <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number <br />(Transfer from service label) 7 010 1060 0001 0 9 3 6 0680 <br />PS Form 3811, February 2004 Domestic Return Receipt 102595 -02 -M -1540 <br />