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• 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 />Haydn Public Library <br />P.O. Fox ox 1813 <br />201' Jefferson Avenue <br />Hayden, CO 81639 <br />2. Article Number <br />(Transfer from service label) <br />UNITED STATES POSTAL SERVICE <br />First -Class Mail <br />Postage & Fees Paid <br />USPS <br />Permit No G -10 <br />REGE� <br />Q 'Sender: Pleas <br />%ur name, addre- ,and ZIP +4 1 IQt - ✓, , <br />�° � STATE OFOO <br />safety , - Y <br />2013 <br />C\ &' DEPARTMENT OF NATURAL RES t URCES <br />, o s, �r DIVISION OF RECLAMATION, MIN G & - ,. <br />� �� <br />� 1313 SHERMAN STREET, SUITE 215 87 639 <br />DENVER, CO 80203 <br />PS Form 3811, February 2004 Domestic Return Receipt <br />C1982-057 <br />SL -4 <br />Bond Release Inspection <br />Notification <br />COMPLETE THIS SECTION ON DELIVERY <br />A. Sig ure <br />ilO .It:;' 11%4. <br />3. Service Type <br />❑ Certified Mail ■ - . - Mail <br />❑ Registered ❑ Retum Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />7010 1060 0001 0936 2929 <br />❑ Agent <br />❑ Addressee <br />Yes <br />0 <br />102595 -02 -M -1540 <br />