Laserfiche WebLink
D� <br />ffO, <br />C� a� <br />J�0 <br />0� <br />UNITEV- <br />..�,'3 . �;..f"'�•� :-ate•)..; t �:sgy� .:�^ .* ,�. �b".�.�._"R <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 />Denver, CO 80203 ;q- G <br />C- 1981 -010` V <br />CV- 2014 -006 <br />Notice of Proposed Amount of Civil Per <br />MPB /JLE <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 mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />MR FORREST V LUKE <br />TRAPPER MINING, INC <br />P.O. BOX 187 <br />CRAIG, CO 81626 <br />A. Signature ! ��'� " <br />❑Agent <br />X <br />irAddressee <br />B. Rgpeived by (Printed Name) C. Date of Delivery <br />D. Is delivery address different from item 1? 13 Yes <br />If YES, enter delivery address below: 5+1� 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 <br />(Transfer from service label) 7 010 1060 0001 0 9 3 6 0628 <br />PS Form 3811, February 2004 Domestic Return Receipt 102595 -02 -M -1540 <br />