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 ZIP+40 in this box* <br /> State of Colorado <br /> Department of Natural Resources <br /> Division of Reclamation,Mining& Safety <br /> 1313 Sherman Street, Suite 215 M f <br /> Denver,CO 80203 Spec <br /> File 36 ti <br /> SENDER: <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. <br /> ■ Print your name and address on the reverse X 0 Agent <br /> so that we can return the card to you. ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, B. Received by(Panted Name) C. Date of Delivery <br /> or on the front if space permits. <br /> 1. Article Addressed to: D. Is delivery address differe from item 1? ❑Yes <br /> If YES,enter delivery address below: ❑No <br /> Mr. Mason Kina <br /> Mason King <br /> PO Box 68 3. Service Type <br /> ❑Certified Mail® ❑Priority Mail Express- <br /> Cope, CO 80812 ❑Registered 13 Return Receipt for Merchandise <br /> ❑Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) <br /> 2. Article Number ❑Yes <br /> (Transfer from service label) 7014 2120 0001 7885 3 261 <br /> PS Form 3811,July 2013 Domestic Return Receipt <br />