Laserfiche WebLink
1 <br />UNITED MATES P <br />OSTAL SERVICE uw� <br />_ fF fst- Mss.Maif <br />e.- $Fees'Paid <br />- ? A tit No. G�10 <br />• Sender: Please print your name, address, and ZN?v in Ns Im • to� <br />State of Colorado oars ,J <br />Department of Natural Resources <br />Division of Reclamation, Mining & Safety V <br />1313 Sherman Street, Suite 215 <br />Denver, CO 80203 C- 1980 -007 <br />SL-6 <br />Inspectiol btification <br />jrs /ah h ; <br />SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br />i <br />I';; lllill;,,,; lllll; l; �i' Il;; i,; l ;,;►IIIII;�iz��;�I1rT(;�;��;��� -s I <br />• Complete items 1, 2, and 3. Also complete A. Signature <br />item 4 if Restricted Delivery is desired. 13 Agent <br />• Print your name and address on the reverse <br />so that we can return the card to you. ❑ Addressee <br />• Attach this card to the back of the mailpiece, B Rece d by (Printed Name) C. Date of Delivery <br />or on the front if space permits. <br />1. Article Addressed to: D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />USDA Forest Service <br />P.O. Box 1030 <br />Paonia, CO 81428 <br />J. Service Type <br />❑ Certified Mail ❑ Express Mail <br />❑ Registered O Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4- Ras +riria.J rneo.......n <br />z. Article Number <br />(franster from service iabeo 7009 2820 0003 5700 5949 <br />PS Form 3811, February 2004 Domestic Return Receipt <br />102595 -02 -M -1540 <br />