Laserfiche WebLink
COMPLETESENDER: COMPLETE THIS SECTION / ON DELIVERY <br /> L— t <br /> ■ Complete items 1,2,and 3. A. Signature �yc.. <br /> ■ Print your name and address on the reverse X —T— 4 I�❑Agent <br /> V CJ Address <br /> so that we can return the card to you. �-_--_. <br /> ■ Attach this card to the back of the mailpiece, B, Received by(Printed Name) Data of Deli <br /> or on the front if space permits. C. 3 Ii /7 <br /> 1. Aruc!e Addressed to: D. Is delivery address different from;tam 1? ❑ Yes <br /> If YES,enter delivery address below: ❑ No <br /> ,N r. Jordan C.and Jone L. Burdick <br /> 2707 Glade Road <br /> Loveland, CO 80538 <br /> 3. Set-vice Type ❑Pnorty Mad ErpressCD <br /> I I i I'll Ill!III ( 1 II II I I CI Adult Sudnature Registered Mail <br /> i I li I i C AduR Signature Restricted Delivery ❑Registered Mail Restn. <br /> ❑Certified Mail,,' Delivery <br /> gc �o g 1�� 2�-r D Certified Mad Restricted Delivery Cr Return Receipt for <br /> 3 6306 �3/ 20 Collect on Delivery Merchandise <br /> 2. Article Number(Transfer from service label) Collect an Delivery Restr•cted Delh•,ery '—S[grature Confirmation <br /> Insured Mad i_'�Sgnatjre Cont,rmat;o, <br /> 7 016 2140 0000 2345 7134 -Insured Mail Restricted Del;very Restricted Delivery <br /> over S500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receil <br /> USP # <br /> First-Class Mail <br /> Postage&Fees Paid <br /> USPS <br /> Permit No.G-10 <br /> 9590 9402 2543 6306 1372 20 <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 <br /> Do ;�nC Z File WI Hegol2 <br /> II�Ii1�hIl��tlltillti'ttt�ltilt�tttl��li�it���lttrlrll�tl�ll�,ail <br />