Laserfiche WebLink
• . ON <br /> SENDEM <br /> e Complete items 1,2,and 3.Also complete A. Signatur, <br /> nt <br /> item 4 if Restricted Delivery is desired. X - �' dre <br /> sse <br /> ■ Print your name and address on the reverse f ' ddre <br /> so that we can return the card to you. . Received by(Printed Name) C. Date of Deliver <br /> ■ Attach this card to the back of the mailpiece, �z �� <br /> or on the front if space permits. D. Is delivery address different from item 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑No <br /> Mr. Jordan C Burdick <br /> Jordan C. and Jone L. Burdick <br /> 2707 Made Rd 3. Service Type <br /> ❑Certified WHO ❑Priority Mail Express`" <br /> Loveland, CO 80539 <br /> ❑Registered ❑Return Receipt for Merchandise <br /> ❑ Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7014 2120 OOD1 7885 3308 <br /> (Transfer from service label) <br /> PS Form 3811,July 2013 Domestic Return Receipt <br /> UNITED STATES POSTAL SERVICE First-Class Mail <br /> <.a•.,�.. Postage&Fees Paid <br /> LISPS <br /> Permit No.0-10 <br /> • Sender: Please print your name, address, and ZIP+4®in this box* <br /> State of Colorado <br /> Department of Natural Resources <br /> Division of Reclamation,Mining& Safety <br /> 1313 Sherman Street, Suite 215 �,/�7,D <br /> Denver, CO 80203 Spec 9 <br /> File <br /> tll!'!I ��lil�1 l�l��!!I'I!!l '1'��Ii�lli.1111pill„iiii1li1„f <br />