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UNITED STATES POSTAL SERVICE <br />First -Class Mail <br />Postage & Fees Paid <br />USPS <br />Permit No. G-10 <br />• Sender: Please print your name, address, <br />and ZIP+40 in this box* <br />RECEIVE � <br />State of Colorado <br />Str 2 3 2015 <br />Department of Natural Resources <br />Division of Reclamation, Mining & <br />Safety ,F REGLAMAO <br />1313 Sherman Street, Suite 215 <br />C <br />Cr_ <br />�" <br />Denver, CO 80203 <br />IWWWW M `" " ` <br />C 1981-008 <br />SL -17 <br />Inspection Notification <br />bfb/ahh , <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 />Nancy Enstrom <br />P.O. Box 354 <br />Nucla, CO 81424 <br />A. Signature <br />❑ Agent <br />B. Veceived by/(Printed Nage) I C. Date of Delivery <br />D. Is delivefy address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />❑ Certified Mails ❑ Priority Mail ExpresSTM <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number <br />(transfer from service iabeo ?[114 0150 0000 913 8 9615 <br />PS Form 3811, July 2013 Domestic Return Receipt <br />