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UNITED STATES POSTAL SERVICE First -Class Mail <br />Postage & Fees Paid <br />USPS j <br />Permit No. G-10 <br />• Sender: Please print your name, address, and ZI Anu- <br />SEP L; L�IJ <br />State of Colorado <br />Department of Natural Resources division of Reclamation, <br />Division of Reclamation, Mining & Safety ming &Safety <br />1313 Sherman Street, Suite 215 <br />Denver, CO 80203 <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 />Moore, Michael <br />and JoAnn <br />P.O. Box 326 <br />Nucla, CO 81424 <br />A. Signature <br />x <br />C1981-wo <br />SL -17 <br />Inspection Notification <br />bfblahh <br />❑ Agent <br />B. Recbiuedy (Printed Name) C. Date of Delivery <br />D. Is delivery address different,from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />❑ Certified Mail® ❑ Priority Mail Express'" <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 7 014 015 0 0000 913 8 9592 <br />(Transfer from service label <br />PS Form 3811, July 2013 Domestic Return Receipt <br />