REP29155

• Permit No: M1980038
• IBM Index Class Name: Report
• Doc Date: 7/31/1990
• Doc Name: 110 ANN FEE LETTER - 60 DAY NOTICE
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

• SENDER: Complete itema 1 end 2 when additional cervices ere desired, end complete items
3 and 4,
Put your address in the "RETURN TO" Space on the reverse side. Failure to do thin will prevent this
card from being returned to ou. There urn races t fee will rovide ou the name of the arson delivered
[o end the date of delivery. Fora shone aes t e o owing services are aver a e. onsu t postmaster
';or ees an c>~cr ox es for additional servicelsl requested.
"1. ^ Show to whom delivered, date, and addressee's address. 2. ^ RestriMed Delivery
(Error charge) (Firm charge)
3. Article Addressed ta: 4. Article Number
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, lII ^ Ragiateretl ^ Inaurad
~ Certifietl ^ COD
^ Express Meil ^ Retum Receipt
for Merchandise
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Alweya obtain aigneture of eddrecaee
or agent end DATE DELIVERED.
5. Sig ature -Address 8. Addressee's Address (ONLY if
X requested and fee paid)
6. Signature -Agent
X
7. Date of Delivery
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PS Porm 3811, Mar. 1988 • U.S.G.P.O. 1080-212-a65 DOMESTIC RETURN RECEIPT
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MINED LAND RECLAMATIOFY DIVISION nJ ~ 0112 4 5
1313 Sherman, Room 215
Denver, Colorado 80203 DATE ~) " ~ ~ 9 ~~
~ C~'~ ~ I (303) 9663567 p
FOR /~ /
AMOUM OF CCOUNT...........$ _
AMOUNT PAID ...................$ _
BALANCE DUE ...................$ _
^ CASH
'9-CrHECK
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