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MINED LAND RECLAMATION DIVISION N p ~ 11 ~ 52 <br />1313 Sherman, Room 215 <br />~ ~ Il Denver, Colorado 80]03 DATE ~ ~ - 3 ~ 9 ~' c <br />(303) 866-3567 $ <br />RECENED Y.1-~t (\ ~ ~n ~ n _ n • ~~ , <br />FROM t~.k- IV-LR7 <br />1 I\ . L~ / <br />AMOUNT OF 71000UfJT...........$ <br />AMOUNT PAID .. .................$ <br />BALANCE OUE ...................$ <br /> P 767 447 03D <br />I RECEIPT FOR CERTIFIED MAIL <br />i NO INSOgANCE GOVEPAGE PgOVI0E0 <br /> NOi FOq INiBRNAilONA4 MAIL <br /> rl (See Revers <br />-8/ ~ // L ~ <br />W <br /> `;enl 1D <br />c~ /~ ~J. I <br />w <br /> Street and No. N <br /> IS ,~ <br /> P.O. Slate and ZIP Cotle 3 <br /> eHl ~ ) ty <br /> Postage $ , 1 <br /> <br /> Cerafieo Fee 3 <br /> SDenal Delrvery Fee J <br /> <br /> Reslrrgetl Delrvery Fee <br /> Return Recerpl showing A <br /> to whom and Date Delivered ~ I <br />m <br />m Return Recerpl showing to whom, <br /> <br />Date. antl Aodress <br /> <br />d ve _ <br />j <br />~ 70TAL Postage es ~ <br />Q <br />o <br />m r <br />Postmark Dr <br /> ~ <br /> <br />LL ' 9 , <br />~~~ <br />- <br />n ,~ Z <br />^ CASH <br />/~ZI o ~o.K <br />~`Ina~~ ou! <br />BY <br />• SENDER: Complete items 1 en0 2 when additional services ere desired, end complete items <br />3 end 4. <br />Put your adtlresa In the "RETURN TO" Space on the reverse aitls. Failure to do this will prevent this <br />ca A from being returned to you. The return receipt fee will provide vau the name of the person delivered <br />~ <br />tl <br />h <br />d <br />f d <br />li <br />F <br />T~ <br />~ih <br />I <br />9 <br />1106~1 <br />~ <br />to <br />n <br />or a <br />tlon <br />t <br />e <br />ate o <br />e <br />ver . <br />Ing <br />erVICe6 ere eve <br />.On911 t <br />e <br />O OW <br />or aes en c ec c ox es for additional servicelsl requested. <br />1. ^ Show to whom delivered, date, and eddreasee'e edtlrees. 2. ^ Restrictetl Delivery <br />r (Exrm charge) IErrm charge) <br />3. Article Addressed to: 4. Article Number <br />~ <br />~ <br />~ <br />l~ <br />` <br />' f~ 7(c 7 ///1 C~ 3r_~ <br />c <br />u.~ <br />ct.~ r <br />{~ tc~a <br />.t Type of Service: <br />• .5 - <br />`iI ~.~ <br />~ <br />1 ^ Registered ^ Insured <br />. <br />1~E ~C~nilletl ^ COD <br />h <br />~{ ~ ~R pass ~[_1 ,~Li ]~~I ^ Expreaa Meil ^ Return Recei t <br />for Merchen~se <br /> <br /> Alweya obtain slgnMUre o/ etldroaaee <br /> or agent end DATE DELIVERED. <br />5. Sigt;eture -Address ~ i ~ <br />~ R. Addressee's Address (ONLY iJ <br />X r requested and fee paid) <br />. Signature -Agent <br />y <br />(„ <br />7. Date of Delivery <br />PS Form 5811,~Mar. 1988 • U. S.G.P.O. 7988-212-965 DOMESTIC RETURN RECEIPT <br />