Laserfiche WebLink
—MIT"}-r_..-_ VP• y v iii 6 <br /> envelope sl v w —— _ _ <br /> T - � � cn <br /> Z _ _ CO <br /> CO 0 <br /> = ao z � <br /> (an 3:3° 4=1. --es— - _ `"' 2 33 <br /> Cr PIS, - = Z <br /> 63bi 0 000. illimilimmilimi , _Z m oD�= <br /> ''� RECEIVE <br /> T r— 30-I.-. <br /> ' CO to..Z-1:1 <br /> "s4\ T o o,1om <br /> �, '�'� _ MAY 0 Q 2016 0 * r' xr o.-co <br /> �000 <br /> N a rn Zama <br /> (DIVISION OF RECLAMATION 1,3 <br /> CO . < m <br /> I I I MINING&SAFETY C N Q <br /> wCD <br /> -m <br /> zw * o 84 <br /> * J161 0161120501 cn m 82628936 05/01 540J1/1042/727F <br /> :: SL/el L1111 9et•L6Z9gt«lied <br /> FeC <br /> Package EIC aNFmbe: 8094 9634 4714 DN'.. 0200 <br /> Express US Airbill Tracking Fprm f <br /> /••• •t'xf 1,'` /•, '`t•.• 'yxr:r.f r/''• x+'/fy;stJ.f � Packa esu to150lbs. <br /> 1 From a'.'vty tr:y-`s",a'w',1ri�.'•tjy'`:.!.T�f•r}y�r'•�.4iu'.e fH 4 Express Package Service •Tarr?PVT <br /> rerpaekawennlsese.aside • <br /> Date �/f /f'f,F Y,4 f).fl,_!f'f iY'�'f jY s f I.a'a ,fO' �.Y.ti't.' .c' :! FedEx Eep nee haiakt USAireill. <br /> Next Business Day 2 ora Business Days <br /> Sender'sOL( A /'�t �^� ^ FedEx First Overnight FedEx 2Day A.M. r 1 <br /> Name AN C.oz_14W 5 Phone ��(/ _. 7 , Earkes,nextbusirmsemorning deuyerymeelect IJ Second businessmornmfl• lu <br /> locations.Friday shipments vnll he delivered On Saturday Delivery NOT available. <br /> Monday unless Saturday Delivery o selected. <br /> / � ./ O e c# /�04FedEx Priority Overnight edEx2Day <br /> Company 6r-[J�� S r*"J/ L.-4—C— ❑ Next brtsmess mornirq•Friday shipments will be Zee Is after .•Thursday shlana as <br /> 0) - delivered on Monday unless Saturday Delmery kap be delivered on Monday unless Saturday <br /> CO is selected. Delivery is selected. <br /> • M y <br /> c-? FedEx Standard Overnicinght -- FedEx Express Saver <br /> Address / , }s 0v PR. ❑ Na twsinSetz a rd D Third FedEx Express <br /> CD..o• <br /> DePUR0orsu VRoom Senn-day Delivery NOT avatede. Saturday Delivery NOT available. <br /> CO / PE" State At. ZIP g5-415 Packaging 9 9 oboe us ZOO. <br /> go <br /> •Declama <br /> FedEx Envelope' ] FedEx Pak" h,FedEx ❑ FedEx ❑ Other n I <br /> ▪ 2 Your Internal Billing Reference Box Tube 0 <br /> u_ • <br /> cD 3 To 6 Special Handling and Delivery Signature Options Fees may apply.See the FedEx Service Guide. g ' <br /> c Reci Tent's p P <br /> co Name � _� _ _ Phone_ 0 _8 Z'_D�U�j_ Satur Delivery o <br /> �--' NO7 for FedEe SundaN Overnigt;Fade Way AM,or FedEx Express Saver. m <br /> a <br /> E Indirect SiUnature <br /> 01 Vi tt AgToN l 1/WI �, 5 r� �NoSignatureRequired ❑ Direct Signature ❑nmonaisa'ttle atrecipems • 1 <br /> • Company Package may be lett without Direct Signature <br /> eaaress aaeress,somaoneataneynb i g o <br /> X obtaining a srenature for delivery may sign for delhery. address may sego for delivery.For o <br /> resderhal deWenes only. 4.• <br /> Hold Weekday o <br /> a) Q/� �.q Fad&location address Does this shipment contain dangerous goods. ca <br /> Address t3� 5�ierma►� Sf!r �MQIe• �/5. ❑FaedwFnFinaOpNOT yeng � One hot must he checkedco <br /> GP <br /> • We cannot deliver to P.O. sorP.O.ZIP cones. DepAToorsa aRoo r Yes Yes D Ice `n <br /> Hold Saturday 'No H Aeperanactxld `- not required.Declaration H Drry.•e•UN1845 x - k <br /> 4 FedEx bcaemaddress slkppersoeclaration. — tmRuiree. - g <br /> REQUIRED heiYs01O'ir <br /> Address ❑�Fxppey rd <br /> Random epplyfordagerousgoods—seemacurrentFaaExServiceGuide. ❑, Cargo Aircraft Only <br /> Use this line for the HOLD location address or for continuation of your shipping address. 'io c27ayec�rke • <br /> 7 Payment Niro: <br /> City V , State _ ZIP_ 2 O 3 ----- Enter redEa Acct No.or Credo Obtain recip.Card No.Wow. 1 Acct No. ❑ <br /> Sender <br /> ❑ hobo ❑ Recipient ❑Third Party ❑ Credit Card ❑ Cash/Check <br /> _ i',A a'1'fl'''''''i•' t').a'!it if p'yi.h!'1.f! <br /> 1 <br /> Total Packages Total Weight y;f f Y./' ! 41' !•• creacrav ro, <br /> • <br /> ,;e'4.i1 a•!.;i'a <br /> __..._ lbs. a a <br /> tOur m.n:deD�,�ayaadaeraah�haryakaSeadecnrrraFndsa�eaG�d.kada�a 64 4 <br /> r I' ^^^' ^r^e "„ Ray.Data 3/15•Pert 0187002.022012-2075 FedEx•PRINTED IN U SA SRF <br />