Laserfiche WebLink
S o T 3 c 3" N g n A n a-n A a N <br /> _ c c n`o <br /> cDA9Z� ; gym <br /> �$-�•.`—a-`mA c ono ao no N m��- n�37 <br /> o {� <br /> N <br /> c.3�n Ov <br /> jar=..moN d.TmW1�m= <br /> o_i)"Ce', <br /> 3 �._Mfg rR m <br /> COLORADO <br /> Division of Reclamation, g v==3= =d�� °o M f S�=.;3 <br /> f 6 C Y <br /> Mining and Safety <br /> a <br /> -- _ <br /> 1313 Shermar Street Roos- ., <br /> De-^-.er C0 8-^2D3.2?43 <br /> Gregory Larson <br /> 14977 Co. Rd. 97 <br /> Haxtun, CO 80731 <br /> SENDER:COMPLETE THIS SECTION CO)WPLETE THIS SEC77ON ON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. 0 Agent <br /> ■ Print your name and address on the reverse X ❑Addressee <br /> so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front if space permits. <br /> D. Is delivery address different from item 1? 17 Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑No <br /> Gregory Larson <br /> 14977 Co. Rd. 97 3. Service Type <br /> 13 Certified Mail'9 ❑Priority Mail Express" <br /> H axtu n, CO 80731 ❑Registered 0 Return Receipt for Merchandise <br /> 13 Insured Mail ❑Collect on Delivery <br /> m`/z /klzoo7ol71 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7 014 2120 0001 8040 1450 <br /> (Transfer from servir -- <br /> PS Form 3811,July 2013 Domestic Return Receipt <br />