Laserfiche WebLink
STATE OF COLORADO <br />Division of Minerals and Geolog <br />Department of Natural Resources <br />1313 Sherman Street, Room 215 <br />Denver, Colorado 80203-2273 rk4 <br />341300000 <br />1 ~~ <br />I+II2 <br />1026 <br />COLORADO 80540 <br />~ <br />~ i~ U.S.P USTAG~ <br />(~'eC~~''' <br /> <br />s_ <br />G 1 <br />~ <br />` _ <br />5 <br />.._ <br />~ __. _..J <br />! <br />ti <br />Qi <br />~~N <br />GO <br />`~1 <br /> Id <br /> <br />F; ip ,zY <br />~ i(tI(rnt..artn~riir.n...trirr(,urr.i,rnr~,i,i,nr~r(,i,i <br />~~ ND <br />9 •COmplet•Itam91 BrldrOr 210r aeelOafW •arVlaea. <br />~w •~omplete items 3, 4e, end 4b. <br />~ • Pdm your name end address an the reveres of this form ao Viet we can return lhla <br />rard to you. <br />j •Attech this form to the ham of the meilpiece, or on Ifw bed! V apace dose not <br />m permit. <br />y •Wdte'Rerum Receipt Requested' an the mailpiece bNOw the arlida number. <br />t„ •The Return Receipt will show to whom the artide was tlelivar•d ane the sate <br />~ deu~eree. <br />0 <br />v 3. Article Addressed to: 4a. Article N <br />m <br />d \ <br />°' ^`+; ~ \ a (GV a 4b. Service <br />E <br />0 <br />18130 wlSh t0 feC01Ve the <br />following services (for an <br />extra fee): <br /> <br />1. ^ Addressee's Address ai <br /> <br />2 <br />2. ^ Restricted Delivery y <br />Consult postmaster for fee. ~ <br />d <br /> <br />v 1 ~ ^ Registered <br />`' ~ ' ~''k ~ Va° ^ F~rpress Mail <br />1I- c ^ ReNm Receipt is <br />" ~( 0'~5 ~ ~ tS p ~ ~ f'f. O 7. Date of Delivery <br />6. Received By: (Pdnf Name) 6. Addressee's Ad <br />and /ee is paid) <br />~ 6. Signature: (Addressee or Agent) <br />i. ~( <br />n <br />PS Form 3811. December 1994 Inn <br />Fold at line over top of envelope to the <br />riyht-of the return address <br />. MAIL .~ ,' <br /> <br />q s~. ~ti~l u <br /> ~' <br />CertiTied ~ <br />^ Insured m <br />Merchendse ^ COD ' <br /> <br /> 0 <br />0 <br /> T <br />ress(OnlyNrequesfed ~ <br />rL- <br />