Laserfiche WebLink
4 <br />k' <br />I sbo wish to reeelve the , <br />following services Ifor an extra ~ r <br />}eel: I <br />1. ^ Addressee's Address <br />2. ^ Restricted Delivery t+^t i <br />Consult atmeater for fee. ^ ~ <br />icle Number • <br />!~(_, ' 0`140 0007 <OIS <br />n ~~ . 1 - ~ ~r vice Type <br />`•~y!`' V`+/1~-C- ^ RsystSrad ^ Insured <br />~ q d~ ~1 }.J (••Eertified ^ COD ~ ~ <br />W V 4 '4' ~ 5~~ C y •~ ~ ^ Express Mail ^ Return Receipt for <br />¢ ~ /_ J M r h ndiee k <br />~ R)'(L/~C wQ• 7 8~j 5 7. Date of Delivery i <br />Q ~ ~i <br />5. Signature (Addressee) B. Addressee's Address (Only if requested ~r <br />56ti/H and fee is peidl li t <br />I • Cempters esrtr t re+eror x fir eddebnel »M».. <br />• Complete itsr» 3, arM M e b. <br />I Print your rter» end eddrass on the reverie or this farm eo thet wa cen <br />return this card W You. <br />~ = Attach this /Orrrr to the Irprt o/ dle mNlq»e. ur on the beck it epee <br />dMe not panrrit. ~ V <br />' ~ • Write"Raton RereNpt Reewetetl"an lfM meil(~Mlow tM ertiele number <br />• The Rehm Realpt will eholeee whom the ertldN w» dallvsnd end the date <br />C delivered. ~~DD'' <br />3. Articplel(~A~ddres~ed to: ^~~~~~J/."/,per; 4a~1 <br />e n rl • ~ 6~SignMUra tAgsntl <br />W cj ~ Form , <br />..I ,fir <br />STATE OF COLORADO <br />Di•~ -'on of Minerals and Geology <br />!merit of Natural Resources <br />(L,~y hherman Street, Room 215 <br />,flc.•• v `Colorado 80203-2273 <br />lTyee <br />TO TO <br />~.. srvpre e <br />I "~Ut1ED. L,=F7 <br />4ND Notlq ~ U~ CL~',1 TcD,rui ICN na~PlRtp <br />~! D c U,~u SD E~EFUS DN <br />.. i~,~s~'rFICCHj~ ADD <br />Return RESS <br />~ ~ f li~ <br />/ ' <br />~ ~' , <br />Te eawdar Cell <br />Ylrerle111en ^reee <br />a Oeorpelowrl <br />IxOq m-asn <br />.:, <br />MR KYE A ABRAHAM <br />LKA INTERNATIONAL INC <br />3724 47TH ST CT NW <br />GIG HARBOR WA 98335 <br />Prov~tle,1 <br />oriel MaJ <br />~~ <br /> <br /> <br />N No nsurance <br />O °.'~ ^t~ nor use lei <br />~ ~ See eversei <br />O ti <br /> , <br />rU <br />S <br />C <br /> <br /> <br />t1') <br /> <br />(V <br /> <br /> <br /> <br /> <br /> <br />4T <br /> <br /> <br />c~ <br />~ <br />c <br />0 , <br />. <br />ee <br />R <br />~~ <br />L~ <br /> .. <br />^ 296 607 618 <br />Receipt fc <br />Certified I <br />I l <br />"~ , <br />-t <br /> <br />t~ <br />e~ <br />~~ <br />tttttttt~ <br />tttttttt~ <br />ttttt~ <br />• <br />