Laserfiche WebLink
UNITED STATES POSTAL SERVICE <br />First -Class Mail <br />Postage & Fees Paid <br />USPS <br />Permit No. G -10 <br />• Sender: Please print your name, address, an�LFWM box • <br />JUN <br />State of Colorado <br />n of Reclamation, <br />Department of Natural Resources & Sa{ety <br />Division of Reclamation, Mining & Safeq <br />1313 Sherman Street, Suite 215 <br />Denver, CO 80203 C- 1980 -007 <br />SL-6 <br />`Inspection Notii <br />■ Complete items 1, 2, and 3. Also complete A. <br />item 4 if Restricted Delivery is desired. X <br />■ Print your name and address on the reverse <br />so that we can return the card to you. B. <br />■ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />Dave Lazorchek <br />U.S. Bureau of Land Management <br />Gunnison Field Office <br />216 N. Colorado <br />Gunnison, CO 81230 <br />by ( Printed Name) <br />Is delivery address different frq <br />If YES, enter delivery address <br />❑ Agent <br />❑ Addressee <br />�YDate of Delivery <br />`q `c- -1 -- ' ) t--f- <br />1? 13 Yes <br />❑ No <br />3. Service Type <br />❑ Certified Mail ❑ Express Mail <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 7009 2820 0003 5700 5925 <br />(Transfer from service label) <br />PS Form 3811, February 2004 Domestic Return Receipt 102595 -02 -M -1540 ; <br />ication <br />