Laserfiche WebLink
COLORADO <br />Division of Reclamation, <br />Mining and Safety <br />Department of Natural Resources <br />1313 Sherman Street, Room 215 <br />Denver, CO 80203-2243 <br />341300000 <br />SENDER: COMPLETE THIS SECTION <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 />Jay Wagner <br />Wagner Rock, LLC <br />96400 E. Hwy. 40 <br />Crag, CO 81625 <br />COMPLETE .THIS SECTION ON DELIVERY • <br />A. Signature <br />x <br />B. Received by (Printed Name) <br />❑ Agent <br />❑ Addressee. <br />C. Date of Delivery <br />D. Is delivery address different from item 1? 0 Yes <br />If YES, enter delivery address below: 0 No <br />3 Service Type <br />❑ Certified Mair 0 Priority Mail Express " <br />❑ Registered 0 Return Receipt for Merchandise <br />0 Insured Mad 0 Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) 0 Yes <br />2. Article Number 7014 0150 0000 9138 3866 <br />(transfer from service labeq <br />PS Form 3811, July 2013 <br />FE <br />a f' <br />W9 <br />OW <br />00 <br />EW <br />Y <br />U� <br />NW <br />Domestic Return Receipt <br />I I II I I I I I I I I MI I I I I Iro <br />ED ca <br />m <br />0000 9138 <br />EO <br />m <br />✓ 1 <br />O <br />a <br />O <br />O <br />O O <br />u1 u1 <br />r -R r-1 Total Postage & Fees <br />O IM <br />U.S. Postal Service,. <br />CERTIFIED MAILTM RECEIPT <br />(Domestic Mail Only; No Insurance Coverage Provided) <br />For delivery information visit our website at www.usps.coma <br />Postage <br />Certified Fee <br />Retum Receipt Fee <br />(Endorsement Required) <br />Restricted Delivery Fee <br />(Endorsement Required) <br />Sent To <br />Street, Apt. No.; <br />or PO Box No. <br />City, State, ZIP+4 <br />Jay Wagner <br />Wagner Rock, LLC <br />96400 E. Hwy. 40 <br />Crag, CO 81625 <br />Postmark <br />Here <br />PS Form 3800, August 2006 <br />See Reverse for Instructions <br />Jay Wagner <br />Wagner Rock, LLC <br />96400 E. Hwy. 40 <br />Craig, CO 81625 <br />