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,p,�, <br /> UNITkD STATEyfjR.11kTE l;f �'id <br /> N6i+F !' <br /> • Sender: Please print your name, address, and Z +4®i ox• <br /> REC i <br /> State of Colorado DEC 1 <br /> Department of Natural Resources i <br /> Division of Reclamation,Mining& Safq(iision of Reclamation, <br /> 1313 Sherman Street, Suite 215 Mining&Safety <br /> Denver,CO 80203 I, <br /> C 1980-007 <br /> CI.R <br /> Proposed Decision , <br /> i <br /> COMPLETE •N COMPLETE THIS SECTIONON <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 41f Restricted Delivery is desired. X ❑Agent <br /> ■ Print your name and address on the reverse i t t, ❑Addressee <br /> so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front if space permits. <br /> D. Is delivery address different from Hem 1? 11 Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑No <br /> Delta County Commis <br /> County Commissioner <br /> 501 Palmer Street, #227 3. Service Type <br /> Delta, CO 81416 1 ❑Certified Mail® ❑Priority M 0 Express" <br /> ❑Registered ❑Return Rc ceiptfor Merchandise <br /> ❑Insured Mail ❑Collector Delivery <br /> 4. Restricted Delivery?(Extra Fee) E3Yes <br /> 2. Article Number <br /> (Transfer from service label) 7 014 0150 0000 913 8 5471 <br /> PS Form 3811,July 2013 Domestic Return Receipt <br />