Laserfiche WebLink
• ~ ;,Applegate <br />Group, ~~~. <br />~'/` <br />Postage 5 <br />Certified Fee <br />Return Receip[Fee <br />IEndorsement Required) <br />Restncted Delivery Fee <br />(Endorsement Required) <br />~ Total Postage 8 Fees ~ <br /> <br />i,iii,ri„1„i,ii„,ii,i,l <br />C. Signature <br />77 Agent <br />X ~ ~ ^ Atldressec <br />Postage <br />Certified Fee <br />Return Receip[Fee <br />(Endorsement Required) <br />Restricted Delivery Fee <br />(Endorsement Required) <br />Total Posage 8 Fees <br /> <br /> <br /> e~-a:~ <br />1J <br />L Postage <br />~ <br />a Cedifetl Fee <br />T Return Receipt Fee <br />~ (Endorsement Required) <br />~ Restricted Delivery Fee <br />~ (Endorsement Required) <br />~ Total Postage & Fees <br />D. Is delivery address different from item 17 ^ Yes <br />If VES, enter delivery address below: ^ No <br />3. Service Type <br />~-Certified Mail ^ Express Mail <br />^ Registered ^ Return Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restrictetl Delivery? (Extre Fee) ^ Yes <br />PS Form 3811, July 1999 Domestic Return Receipt <br />102595-Og-M-0952 <br />i// ~ r r - - <br />IVED <br />NOV 0 2 1001 .. <br />Division at Minerals and Geology ~? ~._a~,.~r~,~_,,,,'.^•- <br />34~0 X014 1622 6657 <br />TI- ('~-O / JMB .Ranch Sub <br />I Sidney Peak. Ranch LTD <br />32505 RCR 14 ~s~ <br />Pgsimarl< Steal:tboat Springs, CO 80487 ` ,fit <br />Here 1~ .. - - ~~ SEp . <br />I T. <br />