Laserfiche WebLink
SENDER:COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3. A. Signature <br /> ■ Print your name and address on the reverse _ �- Agent <br /> so that we can return the card to you. t ' - Addresse <br /> ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. Date of Deliver <br /> or on the front if space permits, L <br /> 1. Article Addressed to: D. Is delivery address diffeient from item 1? ❑ Yes <br /> If YES,enter delivery address below, o <br /> MR TRAVIS R CRAWFORD <br /> SILVER MOUNTAIN PRESERVE, INC. <br /> 11850 CR 520 <br /> LA VETA, CO 81055 <br /> 3. Service Type G Rnonty Mail Express';, <br /> El Adult Signature Registered Mall- <br /> II I�I I II rl !r I (� ��r� i rl I I El❑Adult Signature Restricted Delivery Q Registered Mail Restric <br /> Z Certified Mad3 Delivery <br /> grJ�J A��2 L�J�,3 E �b 13 i 7 El Mail Restricted Delivery El Return Receipt for <br /> C j Collect on Delivery Merchandise <br /> 2. Adirl�Nr,—h—(Tran¢far frnm sarvire label) C Collect an Delivery Restricted Delivery C Signature Confirmatior <br /> [I]Insured Mail C Signature Gonfirma'.ior <br /> 7 016 2140 0000 2345 67 C Insured Mail Restricted Delivery Restricted Delivery <br /> (over$500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receq <br /> USPS TRACKING# M *�; <br /> Fir0C a's"s RdajJ,1- "' <br /> 9590 9402 2543 L306 1370 77 <br /> United States •Sender.Please print your name,address,and ZIP+4®in this box• <br /> Postal Service State of Colorado <br /> Department of Natural Resources <br /> Division of Reclamation, Mining&Safety <br /> 1313 Sherman Street, Suite 215 <br /> Denver, CO 80203 Spec L(-S <br /> 4V640 File ry 1R?ZDe3 <br />