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UNITED STATES�i,,q! � �• µ _ c <br />• Sender: Please print your name, address, and,t - BJVI5&x• <br />State of Colorado """` ' � Z016 <br />Department of Natural Resources RECLAMATIM <br />Division of Reclamation, Mining & Safety _ D gAFE7y <br />1313 Sherman Street, Suite 215 <br />Denver, CO 80203 <br />j0� C-1981-008 <br />SL -16 <br />11 :::►!.l:tj}!%�i,.� Q©:Qecision. Letter <br />fiIIIiII�IIIf'ill�','�'i�fl��i!Ill'►(��ii'lt:��jt,i''tii,i�'•'�,��'I'i �. .:' <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 />A. <br />X <br />Agent <br />. ` c�e.!ved by (P;Inte�i Name) C. gate 9�DelivEry/) <br />D. Is deli�veryy address d�iiffterent from item 1 ? ❑/YesLi�J��J <br />If YES, enter delivery address below: ❑ No <br />Montrose County Commissioners <br />County Commissioners .` <br />161'S. _J. Townsend Ave. 3. Service Type <br />Montrose, CO 81401 ❑ 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 <br />(Transfer from service labeg 7 014 2120 0001 7871 0465 <br />PS Form 3811, July 2013 Domestic Return Receipt <br />