Laserfiche WebLink
• 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 />Ron Thompson <br />New Elk Coal Company <br />12250 State Highway 12 <br />Weston Co 81091 -9520 <br />.j - <br />A. Signature <br />0 Agent <br />B. Received d ( Printed Name) ate of Delivery <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />❑ Certified Mail E3 Express Mail <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) 0 Yes <br />2. Article Number <br />(Transfer from service iabeq 7010 1, 0 6 0 0001 0 9 3 6 8617 <br />_ <br />PS Form 3811, February 2004 Domestic Return Receipt 102595 -02 -M -1540 <br />UNITED STATES POSTAL SERVICE First-Class st & Fees affil <br />Paid <br />I ill 111 USPS <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 <br />'�'gj Vtti 03 1 p12 <br />C 19 p13 -p08 a�►ount of <br />c Ir 0 7 A? n i 3 --GU2 proposed Terence <br />Notice Onalty ReQ for Con <br />Illill�H .,�. <br />Mining 8 <br />