Laserfiche WebLink
• Sender: Please print your name, address, and ZIP+4® in-tthis box* <br />State of Colorado itI ') i 2017 <br />Department of Natural Resources <br />Division of Reclamation, Mining & Safety clamation, <br />1313 Sherman Street, Suite 215 - Safety <br />-jrefvEjY Fb203 C-2009-087 <br />SL -4 <br />Notification Insp <br />tnl/ahh _ <br />• Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />■ Print your name and address on the reverse <br />so that we can return the card to you. <br />■ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />Phillip Courtney <br />Solid Minerals Leasing Manager <br />1127 Sherman St, Suite 300 <br />Denver, CO 80203 <br />A. Signature <br />X4 "L---�❑ Agent <br />�i`❑ Addressee <br />B. Received by (Printed Name) C. Date of Delivery <br />ab I &'It (If bile fl- I I- /X n <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />❑ Certified Mail® ❑ Priority Mail Express' <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number <br />( 7 014 015 0 0000 913 8 5 617 <br />transfer from service fabeq <br />PS Form 3811, July 2013 Domestic Return Receipt <br />UNITED STATES- TIWBERVICE <br />First -Class Ma]Paid <br />Postage & Feeis <br />jX '17 <br />USPSPermit No. G- <br />• Sender: Please print your name, address, and ZIP+4® in-tthis box* <br />State of Colorado itI ') i 2017 <br />Department of Natural Resources <br />Division of Reclamation, Mining & Safety clamation, <br />1313 Sherman Street, Suite 215 - Safety <br />-jrefvEjY Fb203 C-2009-087 <br />SL -4 <br />Notification Insp <br />tnl/ahh _ <br />• Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />■ Print your name and address on the reverse <br />so that we can return the card to you. <br />■ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />Phillip Courtney <br />Solid Minerals Leasing Manager <br />1127 Sherman St, Suite 300 <br />Denver, CO 80203 <br />A. Signature <br />X4 "L---�❑ Agent <br />�i`❑ Addressee <br />B. Received by (Printed Name) C. Date of Delivery <br />ab I &'It (If bile fl- I I- /X n <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />❑ Certified Mail® ❑ Priority Mail Express' <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number <br />( 7 014 015 0 0000 913 8 5 617 <br />transfer from service fabeq <br />PS Form 3811, July 2013 Domestic Return Receipt <br />