Laserfiche WebLink
UNTfDLIETf3 IIIIIIIIIIIIIIII III AUG 05 21 <br /> A 50021 7020 1290 0000 8170 2863 •DLIlLLfRV,Cf• AMOUNY <br /> 1004 1 <br /> 80203 6• <br /> R2303S102701-80 <br /> 1 <br /> Division of Reclamation, Mining, & Safety <br /> Dept. of Natural Resources <br /> 1313 Sherman St., Room 215 4110 <br /> Denver, CO 80203 D/V/;j'0H �0�0 � <br /> SENDER: COMPLETE THIS SECTION COMPLETE THIS DELIVERY <br /> I sygF�grioy <br /> ■ Complete items 1,2,and 3. A. Signature <br /> ■ Print your name and address on the reverse X E3 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- 1 r D. Is delivery address different from item 1? ❑Yes <br /> �'i Y;`)tU f) ,� t'C"k' },i✓�t =N A) If YES,enter delivery address below: p No <br /> �I I'IOI�I�'�I I'�I II I I�II I I I I I I'II I I Ill�f III IO 3. Service Typeatom ❑Registered <br /> Mail Expresso <br /> ❑Adult Signature ❑Registered MalITM <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> ❑Certified Malle Delivery Y <br /> 9590 9402 6825 1074 8772 23 ❑Certified Mall Restricted Delivery ❑Signature ContirmationTm I <br /> ❑Collect on Delivery ❑Signature Confirmation <br /> 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery Restricted Delivery <br /> >ured Mail <br /> 7 0 2 0 1290 0000 817 0 2863 :ured Mal Restricted Delivery <br /> er$500) <br /> PS Form ,July 2020 PSN 7530-02-000-9053 Domestic Return Receipt = <br />