Laserfiche WebLink
UNITED STATES POSTAL SERVICE First-Class Mail <br /> Postage&Fees Paid <br /> USPS <br /> Permit No.G-10 <br /> • Sender: Please print your name, address, and ZIIPP�+41vt6 <br /> xe <br /> State of Colorado Zp16 <br /> Department of Natural Resources PUG z <br /> Division of Reclamation,Mining&Safety RECEPTION <br /> 1313 Sherman Street, Room 215 pMStO NO r�)SPFEV <br /> Denver,CO 80203 <br /> C-1981-008 <br /> SLA 9 <br /> isp�ction Notification <br /> 111111311{1131111131331111'+►'�i�����i'ti3;1 I:,a��;ir;::ice <br /> SECTIONCOMPLETE THIS . <br /> SENDER: COMPLETE THIS SECTION <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. ,o ❑Agent <br /> ■ Print your name and address on the reverse Xe%��(.� 1:1 Addressee <br /> so that we can return the card to you. B. Received by(Printed me) C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, /- , ,, ,. <br /> or on the front if space permits. <br /> D. Is delivery address different from item 19 11 Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑No <br /> Lester F. Goforth <br /> P.O. Box 541 <br /> >ervice Type <br /> N u c l a, CO 81424-054 3 Certified Mail® ❑Priority Mail Express'"' <br /> ] Registered ❑Return Receipt for Merchandise <br /> ❑ Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> z. Article Number 7 014 2120 0001 7871 0 618 <br /> (transfer from service labeo <br /> PS Form 3811,July 2013 Domestic Return Receipt <br />