_PERMIT FILE - M1974052 ‎(21)‎

• Permit No: M1974052
• IBM Index Class Name: Permit File
• Doc Name: DEVELOPMENT & EXTRACTION MINING PERMIT
• Media Type: D
• Archive: No

3.
0 SENDER: Cumpkte Item)1,2 nd R m SEND Add Your bane 1.2,and R
' e Add your a67rcu 'RLTUBIi TO"apace m Add Your addrzse N the"RETURN 70'space m
� mar � � mace.
I. The owing spice is requested(check one.) � !. The following crvice is requested(check one.)
Shaw to whom and Cate delivered..........
• K-11* 0 Show to whom and date deliveccd............—C
❑ Show to whose,date and address of delive S RV•••—C S ❑ Show to whom,date and address of delivery..._C
❑ RESTRICTED DELIVERY ❑ RESTRICTED DELIVERY
Show to whom and date delivered............—C Show to whom and date delivered............_
❑ RESTRICTED DELIVERY. ❑ RESTRICTED DELIVERY.
Shaw to whom,date,and address of delivery3 — Show to whom,date,and address of delivery.$._ �
(CONSULT POSTMASTER FOR FEES) (CONSULT POSTMASTER FOR FEES)
3. ARTICLE ADDRESSED TO:n 3. ARTICLE ADDRESSED M `
A:r ✓.G`'` n 1 -ev G F lvfy/-n4/ay Av%. Gol./e7
Z /•o fio+� aF i�G �� � c /Z/5�8 �/ci G-. eC'n; /3 �
a p
x / x Long iay a/7Y/ CO UOac/
a a
n 3. ARTICLE OF9CRIPTION: A 3. ARTICLE DESCRIPTION:
m REGISTERED NO. CERTIFIED NO. INSURED NO. w REGISTERED F.10. CERTIFIED NO. (e=REO NO.
y 9 1�
M H 1 I
ar I�6-09379 a 027377�
aalways abta:n mgmhtun of ddrrva a agentl D (Always obtain signawns of ddresaes a apentl
ra
I have received the article described above. T 1 have received the article described above.
SIGNATURE OAddteese ClAsthariaed a/mt m SIGNATURE ClAddreuee OAutbarized anent
O O •
Z 2
a O O aWERY RK C / DA EOF LIVERY
D - q)G�
20 S. ADDRESS(CempNla enM It1 n 6. ADDRESS ICainPMla Defy If1aWeeW1 lea./
a G S/Ws`
a I l a
inB. UNABLE TO DELIVER BECAUSE: CLERK?INITIAL' m G. UNABLE TO DELIVER BECAUSE:
p O INITIALS—
j
*GPO::1979.3WA59 *rPO:I97aJ00-e59
a� SENDER: Complete hems 1,2,and 3.
Add Yeur addreu in the`RETURN TO".pace an
� mex
1. The owing service is requested(check one.)
show tovhom and date delivered.............5—C
i ❑ Show to whom,date and address of delivery..._C i
❑ RESTRICTED DELIVERY 1
Show to wham and date delivered........... —C I
❑ RESTRICTED DELIVERY.
Show to whom,date,and address of delivery,$_
(CONSULT POSTMASTER FOR FEES) .Q
2 ART LEA AODRESSEDTO- 0
m
ax �� U
A 3. ARTICLE DESCRIPTION:
IIECISTEREDNO. CERTIFIED NO. INSUREONO.
9
ti
C (Always obtain signatum of oddressaa cr agent)
m I have received the article described above.
M. SIGNATURE ❑Addreuee OAuthadr d went
O /
C a.
y DATE OF DELIVERY p �
o a 6
s ;/ !Az I
2 S. ADDRESS fCompleu_"If
nly R reyueeta4 : 3 =
O ]] r
mG. UNABLE TODELIVERDECAUSE: CLE
c uu
3 I
a
' GPO:IalaJ3ot5D
RECEIVED
AUG 14 1980
MINED LAND RECLAMATION
Colo. Dept. of Natural Resources