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RECEIVED <br />JUL 2 4 2013 <br />i <br />UNITED STATES POSTAL SERVICE First -Class Mail <br />Postage & Fees Paid <br />LISPS <br />Permit No. G -10 <br />• Sender: Please print your name, address, and ZIP +4 in this box • <br />State of Colorado <br />Department of Natural Resources <br />Division of Reclamation, Mining & Safety <br />1313 Sherman Street, Suite 215 JLE, Sal <br />Denver, CO 80203 C -1981 -010 <br />SL -14, 7/18/13 <br />}FIiIII}ilil�ll} III }I €IEI}I�F�i}il(11�}17I1'Iilf ii�llililill {Ifli <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 />Colorado State Land Board <br />1127 Sherman Street <br />Ste 300 <br />Denver, CO 80203 <br />A. Signa re <br />X A �' <br />❑ Agent <br />c '4 <br />❑ Addressee <br />B. Re eived by ( Printed Name) <br />1,71-- Date of Delivery <br />4 i e r•� <br />a <br />D. Is delivery address different fro a <br />11 ❑ Yes <br />If YES, enter delivery address <br />❑ No <br />3. Service Type <br />❑ Certified Mail ❑ Express Mail <br />❑ Registered ❑ Retum Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) <br />❑ Yes <br />2. Article Number 7011 3500 0002 9607 9446 <br />(Transfer from service label) <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02 -M -1540 <br />l <br />