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+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 <br /> Denver,CO 80203 c�` Spec itA <br /> ``�`�� File m I qYD l93 <br /> lilililill1itilitlltillilillillII till 11&111111ii,111 <br /> SECTIONSENDER:COMPLETE THIS COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. Patrick 0" I ❑Agent <br /> ■ Print your name and address on the reverse X �O"1 hP.�l <br /> so that we can return the card to you. ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. Date of Delivery <br /> or on the front if space permits. <br /> 1. Article Addressed to__ D. Is delivery address different from item 1? ❑Yes <br /> If YES,enter delivery address below: ❑No <br /> Jennifer Williams <br /> United Fire & Casualty <br /> 118 2nd Ave. SE, <br /> P O Box 73909 <br /> Cedar Rapids, IA 52407 710JRegistered <br /> e <br /> Mails ❑Priority Mail Express" <br /> 13 Return Receipt for Merchandise <br /> Mail ❑Collect on Delivery <br /> Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number <br /> (transfer from service label) 7 014 2120 0001 7885 6637 <br /> PS Form 3811,July 2013 Domestic Return Receipt <br />