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r <br />^ Complete items 1, 2, and 3. Also complete A. <br />item 4 if Restricted Delivery is desired. X <br />• ^ Print your name and address on the reverse <br />so that we can return the card to you. 6 <br />^ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. ANde Addressed [a: <br />CC Division of :9iRerals <br />Bcb Oswald <br />701 Camino Del Rio <br />Room 15 <br />Durango, CO 81301 <br />4. Restdcted Delivery? (Extra Fee) ^ yp~ <br />2. Article Number 7pp2 051 Opp3 1348 7757 <br />(Transler from service label) <br />PS Form 3811, August 2001 Domestic Return Receipt <br />r~- <br />rrr <br />r- <br />r <br />`~ <br />Y Pos~a?= <br />m <br />,~ <br />Czr ead F=_a <br />~~ <br />Postman <br /> <br />m <br />F.emrn Recemt Re C~ ~ Rra <br /> <br />l I <br />7 <br /> ,EnCarsamen~Re~~ra~l . <br />o <br />~ R=_s:nc:eC Oelivary Fae I <br />O 16^ecrsamen[ RecwreC <br />~ Total Postage & Fees Cj ~ ~ <br />rl <br />0 Sen'.o <br /> CO Division- of Minerals.--- _.._ <br />N <br />o nt r AP No <br />_Camino_Del_Ro, Rm__15 <br />l'` 'r` 701 <br />~ C u'-~ . <br />r ~ I <br />J <br />S <br />2ACPfll-03-P-0OE <br /> <br />S <br />~ <br />Posixga <br />15 <br />• W' <br />m ~ <br />,~ ra~;,ec Fee <br /> ?w[rvi. <br />m <br />~ Retwn Receiot °ee <br />1EnCOrsarnent Regsr=_c) / C~ <br />l rye = <br />~ <br />~ Rastoctec nelr,ery Fae <br />rEnCOSamar'Racured~ ~ <br />~ <br /> I /A ~ <br />/ <br />~ <br />~ Tutal Postage 8 Fees ' <br />j , ~ <br />___ <br />t1'1 ttt------"'~~~--~~~ <br />~ Se Tc~ C (.~ f V C~[~ / <br />C~ <br />(( ~) t <br /> ~ <br />y, <br />p <br /> <br />O i <br />A <br />q 09a IP( ~r ~_ (/~/ L'WxC <br />a <br />_ <br />/ (ni CI-/ - <br /> f 1~ <br />t1~ ~ ~i <br />/ ~ <br /> . --t <br />~f <br />~ tl <br /> <br />^ Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />^ Print your name and address on the reverse <br />so that we can return [he card to you. <br />^ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressetl to: <br />CO Division of P!inerals <br />Suzi Ericksen <br />1313 Sherman St, P,m 215 <br />Denver, CO 1;0203 <br />YJ <br />G Date <br />Agent <br />D. Is delivery atltlress tlifferent horn item 17 ^ Yes <br />if YES, enter delivery atldress below: L~No <br />ertified Mail ^ Fx ress Mail <br />Registered fie m eceipt ft~ or Merchantl <br />^ Insured Mail O.D. <br />~~ ~ ^ Agent <br />i ~G' ~" L ~'~-= ^ Addressee <br />6y(Printed ame) C. Dp~of D.eti~+er <br />7S . ' i <br />D. Is delivery address differentfromitem 77 ^Yes <br />if YES, enter delivery address below: ^ No <br />~. service type <br />Certified Mail ^ Express Mail <br />^ Registered ~ Return Receipt for Mer6 <br />^ Insuretl Mail ^ C.O.D. <br />4. Restricted Delivery? (Eetra Fee) ^ ye; <br />z. ArticleNvmber 7002 X510 0003 X348 7740 <br />(iransler Irom service label) <br />PS Form 3811, August 2007 Domestic Return Receipt <br />2ACPRb03-P>e~ <br />