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a- a-04 <br />Cct?,?;tea ?kwa- zzt:tY-? <br /> <br />M -, `7z Q" <br />o 14 +- % <br />UNITED STATES POSTAL SERVICE First-Class Mail <br />Postage & Fees Paid <br />USPS <br />Permit No. G-10 <br />• Sender: Please print your name, address, and ZIP+4 in this box • <br />i <br />STATE OF COLORADO <br />DEPARTMENT OF NATURAL RESOURCES <br />RECE E <br />DIVISION OF RECLAMATION, MINING AND SAFEr <br />1313 SHERMAN STREET, SUITE 215 FEB B 2 2009 <br />DENVER, COLORADO 80203 Division or i <br />Recla <br /> <br />341300000 ma on, <br />Mining and S e <br /> Spec. kri <br /> File #AzaqR-cM)__ <br />n•?r;?r: rnr ?r;:rr;:r:?:r:tr: rr ,rr.;"r';r::rr:r <br />¦ Complete items 1, 2, and 3. Also complete A. Si nature <br />item 4 if Restricted Delivery is desired. /-T v ? Agent <br />¦ Print your name and address on the reverse X E 1 ( /V? Avle ? Addressee <br />so that we can return the card to you. B. Re ved by (Pn' ted Name C. Date of Delivery <br />¦ Attach this card to the back of the mailpiece, 1 ?? <br />or on the front if space permits. <br />D. Is delive address different from item 1? ? Yes <br />1. Article Addressed to: If YES, enter doss below: ? No <br />FRED & MARTY HOLLEY p ?qN2? W, <br />H & H STONE <br />P.O. BOX 250 3 ? Certffl pe ail <br />DOVE CREEK, CO 81324 ? Registere P ® R Receipt for Merchandise <br />? Insured Mail ? C.O.D. <br />4. Restricted Delivery? (Extra Fee) ? Yes <br />2. Article Number <br />(Transfer from service labeo 7008 1140 0003 4437 4503 <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540