Laserfiche WebLink
SECTIONSENDER:COMPLETE THIS <br /> ■ Complete items 1,2,and 3.Also complete A.• i e <br /> item 4 if Restricted Delivery is desired. ❑Agent <br /> ■ Print your name and address on the reverse X 6 16 ❑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 mailpiece, J <br /> or on the front if space permits. <br /> D. Is delivery address different from item 1? ❑Yes <br /> 1. Article Addressed to: If YES,,en"ter delivery address below: ❑No <br /> '� BUT ` <br /> Gil Moser <br /> 705 Crestview Dr. <br /> Farmington, NM 87401-9106 L`•.'z) <br /> 3. Servle.O'e ems` <br /> ❑Certifi6dTVleV' ❑Priority Mail Express' <br /> ❑Registered ❑Return Receipt for Merchandise <br /> 11 Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7014 2120 0001 7885 3032 i <br /> (Transfer from service labeo <br /> i <br /> PS Form 3811,July 2013 Domestic Return Receipt j <br /> 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+4®in this box* <br /> State of CO -Dept. of Natural Resources <br /> Division of Reclamation, Mining &Safety <br /> MINERALS <br /> 1313 Sherman Street, Room 215 M-1990-059 <br /> Denver, CO 80203 34130000 30-day Grace letter <br /> THM GRM AJW <br />