Laserfiche WebLink
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 <br />Dee <br />02009 -087 <br />Alin <br />2014 Inspection Notification <br />MINING ECLAMA77ON idmldih <br />AND SAFETY <br />• Complete items 1, 2, and 3. Also complete A, Sign ture <br />item 4 if Restricted Delivery is desired. ❑Agent <br />• Print your name and address on the reverse X <br />so that we can return the card to you. ❑ Addressee <br />• Attach this card to the back of the mailpiece, B e eiv d by ( Anted N e) e of elivery <br />or on the front if space permits. <br />1. Article Addressed to: D. Is delivery address different from item 17 ❑ Yes <br />PETER M I LO NAS If YES, enter delivery address below: ❑ No <br />STATE BOARD OF LAND COMMISSIONERS <br />1127 SHERMAN STREET <br />SUITE 300 <br />DENVER, CO 80203 'ice Type <br />u Qertl ied Mail ❑ Express Mall <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Rpatri,f —A r1—n-- , <br />- -, - <br />2. Article Number ­— -W uYes <br />(Transfer from service label) ?012 3 4 6 0 0000 6 3 8 4 632? <br />PS Form 3811, February 2004 Domestic Return Receipt <br />102595 -02 -M -1540 <br />