Laserfiche WebLink
SECTIONSENDER: COMPLETE THIS SECTION H COMPLETE THIS 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. X ❑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 r i s. <br /> 1. Article Addressed to: D. Is deli— item 1? ❑Yes <br /> If YES,enter delivery address below: p No <br /> Garrett M and Bailey R Balsick <br /> hiAR 12 2019 <br /> 16015 Eurich Road DIVISION OF RECLAMATION <br /> Calhan, CO 80808 MININGANDSAFEW <br /> "II I I'II �I I I I I II I II I II I I I I I I III 3. Service Type ❑Priority Mail Express® <br /> ❑Adult Signature ❑Registered MailT'" <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> 9590 9402 3488 7275 7525 21 0 Certified Mail® Delivery <br /> ❑Certified Mail Restricted Delivery ElReturnReceipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number(rrancfpr fm.. <o ,: a r��� ❑Collect on Delivery Restricted Delivery ❑Signature ConfirrnationT <br /> ❑Insured Mail ❑Signature Confirmation <br /> 7 016 2 710 0000 2965 2048 El Insured Mail Restricted Delivery Restricted Delivery <br /> (over$500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />