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{~e~ <br />,w, <br />UNITED STAT S E ~`~..r <br />au Fauca 'acn~t;r <br />• Sander: Please pdnt your name, address, and ZIP+4 in this box <br />STATE OF COLORADO <br />DEPARTMENT OF NATURAL RESOURCES <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />1313 SHERMAN STREET, SUITE 215 <br />DENVER, COLORADO 80203 <br />341300000 <br />pea .,~---. <br />pia ~ .. t~-..2~x~4-p~3 <br />rrtrr,rri!c;!r!lrr;;;!.!N.rr;r!!r;r!r?,r!,Ir!;rlr,!!rr!!rr!rrrrrrrrr <br />m_a~~t -oy3 <br />©$, o~ - a~ <br />~~,0\ <br />~eCe-e~C <br />^~~~CN <br />C~~ 1K~ <br />~~ ~~s <br />. .. .i <br />^ Complete items 1, 2, and 3. Also complete A. Signal <br />Item 4 If Restricted Delivery is desired. X ^ Agent <br />^ Print your name and address on the reverse ^ Addressee <br />so that we can return fhe card to you. B eceived by ~P 'Med' a C. D to of Deli ery <br />^ Attach this card to the back of the mailpiece, ~ 7" ~ ~~ <br />or on the front if space permits. t <br />~ <br /> r Y <br /> y~s dress tliffereM <br />D. Is deMg es <br />em 17 <br />1. Article Addressed to: It YES„Rent r Qeliye{y addR bel w: ^ No <br />Mr Herb K eal~ OJ~~.,/ ~ <br />' .Valcro Inc - Q~Q j }~~~ <br />200 5 17th St <br />PO Box 550 3. Service Type <br />Rocky Fortl CO 81067 ^ Certif(ed Mall ^ F~cpress Mail <br />^ Registered ^ Retum Receipt for Memhandise <br />^ Insured Mall ^ C.O.D. <br />4. Restdcted Delivery? (Extra Fee) ^ yes <br />2. ArtlcleNumber !~ 70D6 D100 ^DD1 7731 296D <br />(trans/er /rom service laben <br />PS Form 3811, February 2004 Domestic Return Receipt tozsssaz-M-lsao <br />