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L.G. Everist, Inc. Return Receipts 8/22/16 <br /> Carbon Valley Resource Permit # M-2001-017 <br /> i SENDER:COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete it el- 2,and 3.Also complete Txi <br /> re <br /> item 4 if Delivery Is desired. f ❑Agent <br /> ■ Print ytS' • ' .4nd address on the reverse JZI Addressee <br /> so that we.,tM •return the card to you. B. Received (Printed N C� to livery <br /> ■ Attach This card to the back of the mailpiece, C/ <br /> or on the front If space permits. <br /> D. Is delivery address different from Rem 1 es <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑No <br /> PDC Energy, Inc. <br /> 1775 Sherman St Suite <br /> 3000 3. g;pdce Type <br /> Denver, CO 80203 Certified Mail ❑Express Mail <br /> ❑Registered B�Return Receipt for Merchandise <br /> ❑Insured Mail ❑C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7 011 1570 0002 1521 1020 <br /> (transfer from service taboo --- <br /> PS Form 3811,February 2004 Domestic Return Receipt 102595-02-W1540 <br /> I <br /> COMPLETE •N COMPLETE THIS SECTIONON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete nature L mac. •�-�`�D <br /> Rem 4 if Restricted Delivery Is desired. 6;.Ar ' '` `1 ❑Agent <br /> ■ Print your name and address on the reverse 2, <br /> s-� ❑Addressee <br /> so that we can return the card to you, B. Received by(Printed Name) C. Date of Delivery <br /> ■ Attach this card to the back of the maiipiece, f or on the front If space permits. <br /> D. Is delivery address different from Rem 1? ❑Yes <br /> 27 <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑No <br /> Last Chance Ditch Company <br /> L/o [Harold P. N,:lson <br /> 11955 W C R 15 3. Sorce Type <br /> Longmont, CO 80501 Iff Certified Mall ❑Express Mall <br /> ❑Registered M RRetum Receipt for Merchandise <br /> ❑Insured Mall ❑C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7 011 1570 0002 1521 1051 <br /> (Transfer from service taboo <br /> PS Form 3811,February 2004 Domestic Return Receipt 102595-02-rn-1540 <br />