Laserfiche WebLink
COLORADO <br /> Division of Reclamation, <br /> Mining and Safety <br /> Department of Natural Resources <br /> 1313 Sherman Street,Room 215 <br /> Denver,CO80203-2243 7018 2290 0001 8923 5784 <br /> 341300000 7018 2290 0001 8923 5784 <br /> m w� o m <br /> � n <br /> N_ j m 'm 'v 3 N = ■ <br /> a m T <br /> + 'a 'o R° • <br /> 0 <br /> - o � <br /> ^ � h <br /> °a trl Ln m , <br /> a �� b <br /> O <br /> m C • <br /> am — <br /> w v <br /> C) 2 N <br /> m 3 <br /> rD y <br /> x <br /> r , <br /> SENDER: • •N COMPLETE THIS SECTIONON DELIVERY <br /> ■ Complete items 1,2,and 3. A. Signature <br /> ■ Print your name and address on the reverse X ❑Agent <br /> so that we can return the card to you. ❑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 permits. <br /> 1. Article Addressed to: D. Is delivery address different from Item 1? ❑Yes <br /> If YES,enter delivery address below: ❑No <br /> Chris Piles q <br /> Gillette Sand and Gravel, Inc. <br /> 20575 HWY 24 <br /> Woodland Park, CO 80863 3. Service Type ❑Priority Mail ExpressO <br /> ICI'I�III'III'IIIIIIIIIIIIIIII'II IIIIII III ❑Adult Signature ❑❑RegisteredMailrM <br /> ❑Adult Signature Restricted Delivery Dvistered Mail Restricted <br /> ❑Certified Mail® Delivery <br /> 9590 9402 4898 9032 9070 38 O Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number,(Transfer from service lahall ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationTM <br /> lail ❑Signature Confirmation <br /> 7 018 2290 0001 8923 5784 lail Restricted Delivery Restricted Delivery <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt 1 <br />