Laserfiche WebLink
UMf(DLIallg IIIIIIIIIIIIIIIIIII AUG ON 21 r <br /> A 50021 7020 ],29D ODDD 8170 2863 '°=��:F.�,�E• AMouNY <br /> 1D04 1 <br /> 80203 6.55 <br /> R2303S102701-80 <br /> i <br /> 1 <br /> Division of Reclamation, Mining, & Safety <br /> Dept. of Natural Resources <br /> 1313 Sherman St., Room 215 4410Q► <br /> Denver, CO 80203 r0�� � <br /> SENDER: SECTION . 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 /> e 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 toy D. Is delivery address different from item 1? 13 Yes <br /> �A'At" ) If YES,enter delivery address below: p No <br /> sv <br /> 3. Service TYPO 0 Registered <br /> Mail ail- sO <br /> 0 Adult Signature 0 Registered Ma11T'" <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> ❑Certified Mall® Delivery <br /> 9590 9402 6825 1074 8772 23 0 Certified Mall Restricted Delivery CI Signature Confirmation- <br /> 0 Collect on Delivery 0 Signature Confirmation <br /> 2. Article Number(Transfer from service label) 0 Collect on Delivery Restricted Delivery Restricted Delivery <br /> ;ured Mail <br /> 7020 1290 0000 81i 7 0 2863 :ured Mail Restricted Delivery <br /> er$500) <br /> TS Form �1,July 2020 PSN 7530-02-000-9053 Domestic Return Receipt <br />