Laserfiche WebLink
STATE OF COLORADO ,"U 'o FIRST- <br /> DIVISION OF RECLAMATION, MINING&SAFETY w�+ LQRADQ ne 12V2 <br /> Attn:Camille Mojar <br /> 1313 SHERMAN STREET, ROOM 215 <br /> 3ENVER,CO <br /> 4130 000 80203 n& ZI <br /> 041 <br /> 7018 2290 0001 8923 1717 �1411 <br /> V� <br /> 6�G RECEIVED <br /> AUG Q 2 7071 <br /> DMSION OF RECLAMATION <br /> MINING&SAFETY <br /> 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 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 /> D. Is delivery address different from item 1? ❑Yes <br /> If YES,enter delivery address below: ❑ No <br /> Deb Rudibaugh <br /> 5291 CR 76 <br /> Partin, <br /> Illlillllillllllllllli x^UDECEASED <br /> TOEDZ'MER <br /> 9590 9402 4401 R.$T-URN TO SZITD E'R <br /> 9 Arfirla Niimhar/Trnncfar <br /> 7018 2290 HE III.�illl�Iali'l MIliaa ,IIIII:'IIeIIIIIIII,JII II��i3I <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />