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UNITED STATES POSTAL SERVICE <br />First -Class Mail <br />I <br />Postage &,Fees Paid <br />USPSPermitr 4o. G-10 1 <br />• Sender: Please print your name, address, and ZIP+4°Rin this bo • <br />r, E VED <br />STATE OF COLORADO NOV O 3 2015 <br />DEPARTMENT OF NATURAL RESOURCES <br />DIVISION OF RECLAMATION, MINING I31 rRECLAIUAIION <br />1313 SHERMAN STREET, SUITE 215 AND SAFEY <br />DENVER, CO 80203-2243 <br />C-1981-010 <br />'SL -17 <br />TNL/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 tht it 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 />Inspection Notification <br />f <br />A. Sigryatu <br />X 4k ❑ Agent <br />%/ J 1:1Ajd�dressee <br />B. Ae ive dby (P�yn d Nn�) l U 7 �V eery <br />Alan Boehms <br />Office of Surface Mining <br />Western Regional Coordinating Center <br />1999 Broadway, Suite 3320 <br />Denver, CO 80202 <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />Service Type <br />❑ Certified Mail® ❑ Priority Mail Express' <br />7 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 tabeo 7 014 0150 0000 913 8 6683 <br />PS Form 3811, July 2013 Domestic Return Receipt <br />