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•SEN DE R: Complete items i an0 Z when atltlltlonal wrvlces are desiretl, entl complete Itemc 3 I <br />entl 4. ~ <br /> <br />Put Vour edtlresa In the "RETURN TO" Space on the reverse side. Fellu re to do thls will prevent th <br />card from being returnatl to you <br />The return racelp[ fee will orovltle you the name o} the Dena L''] <br />~ _~~_O <br />~ ~ "t + <br />G~ <br />- <br />~~ <br />. <br />tlallveretl to end the date of tleliverv. For atlditlonel fees the followlnB services era evelleble. Consu <br />f <br />f <br />h <br />k <br />) f <br />l J <br />- <br />P 7 6 5 4 7 6 2 4 0 <br />postmaster <br />or <br />ees end c <br />ec <br />Oox(ea <br />or edaltlone <br />servlca(a <br />L-~SISow to whom tlellvered, date, end etltlrescee'a etldrass ) requested. <br />. 2. ^ Reatrlcted Delivery ~ <br />1 (Esrre chprgeJt t(Extra chargeJt RECEIPT FOR CERTIFI~U MAID [~- <br />3. Amide Addressed [O: 4- Article Number NO INSU6ANLC;.OVEIIAGE h90V19ED E <br />1 <br /> ~-1 !!~~~~ ((.F'-~ <br />O(`I v <br />~ 7 (O S Nei r-0fl INiEflNAPONAL MAIL <br />(See Reverse) ~ <br />w~ /~ ~ <br />I <br />L' <br />`p~ <br />nW <br />C <br />I"t <br />/ / n ~ <br />-~ <br />-- <br />t <br />1ri <br />~~ <br />~-~-- <br />~ Type of Service: Se 1 to fv~ <br />~ <br />'~~ 1- <br />- ^ Registeretl ^ Insured _' <br />~ <br />I / <br />I ertified ^ COD Slr 1 entl No. (~+ <br /> ^ ExpressMail (, <br />` ~ ~ 3a/ <br />C <br />C~uc f <br />, <br />3 <br />/ Alweys9htain signature o <br />addressee <br />VE <br />ED P O. State and ZIP Cod ~ ( <br /> . <br />or age end DATE DELI <br />R <br />5. Signature -Addressee 8. dressee's AdIlrpSS (ONLY if Postage 5 1`T <br />X equested.gtrdfu yaidJ '~ <br /> Certdied Fee ; ~ ' <br />6; S nature-Agent L i ~ <br />~ .,. ~~~~~ er <br /> <br />x \ <br />_ ~ ~... ;, ~ " ~ ~ <br />Special Delivery Fee pp <br />`~ <br />Y <br /> <br />7. Date p Delivery , ^ ~ <br />Re9lndetl Delivery Fee ~^~ <br /> <br />PS Form 36'1'1, Ma[. 1987 • U.S.O. P.O. 1967-776466 <br />DOM TURN RECi <br />Return Rece~pl showing V <br />f') <br /> _ to venom entl Dale Deiweretl <br /> N <br />~, <br />Return Rece~pl Show,ng ID whom, <br /> <br />~ <br /> Dale, entl Adtlress of Delwery <br /> d <br />TOTAL Pp5lage and Fees <br />S <br />r` <br /> <br /> Postmark or Dale d <br /> - ~ Q <br /> <br />I <br />~~ <br />~, <br />f <br />-~~ <br />MINED LAND RECLAMATION DIVISION N 0 0 0 8 4 8 7 <br />1313 Sherman <br />Denver, Colorado 80203" - DATE ~ ~~ ~e ~~ <br />(303) 866-3567 $ <br />RECEIVED L+1~`•_`-'yam <br />FROM ()c7 <br />`~ -t U DOLLARS <br />//~~ ~1 ri r/ ^ CASH <br />//t ~ / O_~~ 71~d! O~M O.K <br />FOR LO <br />AMOUNT OF ACCOUNT.......... $ ~Q~~ 01' <br />AMOUNT PAID ............... ...$ c/1 It <br />BALANCE OUE ...................$ BV <br />MINED LAND RECLAMATION ISION ~ ~ Q 10 6 0 3 <br />- 1313 Sherman, Room 21'y <br />Denver, Colorado 60203 ppTE 1e ~~ ~e~L <br />1 (303) 866-3567 1 $~~ <br />RECEIVED ~ , ~ _ .r. ~ n ra,t ~(] ,k l "P/r ~]-yLV O <br />FOR ' Y - _ <br />AMOUNT OF ACCOUNT...........$ <br />AMOUNT PAID ...................$ <br />RAIlNCE DUE .............. .....$ <br />~~~J--- DOLLARS <br />^ CA$H <br />CHECK <br />7 C7f~M.0. <br />~tiQ-n~ ~oul <br />