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UNITED STATES POSTAL SERVICE First-Class Mail <br /> Postage&Fees Paid <br /> USPS <br /> 11������ <br /> Permit No.G-10 <br /> • Sender: Please print your name, address, and��l�+4ri�V9POx• <br /> State of Colorado MAY 312017 <br /> Department of Natural Resources <br /> Division of Reclamation,Mining&Saiion of Reclamation, <br /> 1313 Sherman Street, Suite 215 "-Mining&Safe► <br /> Denver, CO 80203 " <br /> C-1991 010 <br /> SL'1 Noti 'eation <br /> lnsp NAA <br /> iij,lij;lliii Iiiiiii jj,i,;ili„ii-,i,RA�;ii'311lliiii <br /> SECTIONCIMPLETE THIS ON <br /> DELIVERy <br /> ■ Complete items 1,2,and 3.Also complete A. Sign ture <br /> item 4 if Restricted Delivery is desired. <br /> ■ Print your name and address on the reverse X <br /> so that we can return the card to you. Agent <br /> Addre <br /> ■ Attach this card to the back of the mailpiece, S. eceived by(Printed Name) C. Dame of De ssee <br /> or on the front if space permits. ' <br /> 1. Article Addressed to: D. Is delivery address different from item 1? ❑Ye <br /> If YES,enter delivery address below: ❑No <br /> Jerod Smith <br /> Colorado State Land <br /> 555 Breeze Street, Sui� <br /> 3. Service Type <br /> Craig, Co 81625 ❑Certified Mails O Priority Mail Express' <br /> ❑Registered ❑Return Receipt for Merchandise <br /> 0 Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) <br /> 2. Article Number ❑Yes <br /> (transfer from service label) 7 014 0150 0000 91,38 5389 <br /> PS Form 3811,July 2013 <br /> Domestic Return Receipt —'�---- <br />