Laserfiche WebLink
�p <br />Q <br />,+� nwaa4. <br />UNIT @rv?✓ -�i. 3 mod. I� a i <br />id <br />1`1 S £. {t'r, �, �• `i /- 7',>r � �Qq...,,,,,. .J�rI7,T'�71J,X <br />• Sender: Please print your name, address, and ZIP +4 in this box • <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 mailpie6f <br />or on the front if space permits. <br />Article Addres� to: <br />r <br />Jason P Carey <br />P O. Box 213 <br />Glenwood Springs, CO 81602 <br />State of Colorado _ <br />Department of Natural Resources RECEIVE <br />Division of Reclamation, Mining & Safety <br />1313 Sherman Street, Suite 215 � n v <br />Denver, CO 80203 -- <br />MPB, DIH MON Q-' <br />C- 1981 -041 1 . <br />SL -8 Inspection Letters fo 611V�i� <br />lI !III P[. I!' Ii1ili Id! Ilidiyi11j !F1ljl1il!1IiijiiilII! ;![1111d <br />A. Signatu <br />❑ Agent <br />X - Z <' Z- -- "-- L Addressee <br />B. Received by (Pnnted rr+ - G. Date Delivery <br />D. Is eliveryaddreF fjfFe&nt,from item 1? ❑ Yes <br />If YES, enter ' ry addr i below: ❑ No <br />i�•c 1�. <br />3. Service Type J <br />❑ Cenlfted Mail - F_8pi'ess Mail <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 7011 3500 0002 9605 5211 <br />(Transfer from service label) _._ ---- <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02 -M -1540 <br />N <br />