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r <br />L�� <br />UNITED STATES FOL SERVICE <br />OCT Z . I <br />me, address, <br />• Sender: PI'Aif� <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 />First -Class Mail <br />Postage & Fees Paid <br />USPS <br />Permit No. G-10 <br />State of Colorado <br />Department of Natural Resources X11 N <br />Division of Reclamation, Mining & Safety mS10ySAY <br />1313 Sherman Street, Room 21--D�Ntir"'� <br />Denver, Co 80203 C_,1996_083 <br />SL-2Notification <br />InspeCtion <br />dm!din <br />-}�-}if" J,f�li <br />A. Signature <br />❑ Agent <br />❑ Addressee <br />B. Received by (Printed Name) C. Date of Delivery <br />D. Is delivery address different from item 19 ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />r <br />Bureau of Land Management <br />2505 South Townsend Avenue <br />Montrose, CO 81401 Type <br />'ied Mail® ❑ Priority Mail Express - <br />0 Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ Collect on Delivery <br />2. Article Number <br />(Transfer from service label) <br />PS Form 3811, July 2013 <br />4, Restricted Delivery? (Extra Fee) ❑ Yes <br />7014 0150 0000 9138 5075 <br />Domestic Return Receipt <br />