2009-05-18_REVISION - C1981048

• Permit No: C1981048
• IBM Index Class Name: REVISION
• Doc Date: 5/18/2009
• Doc Name: Certified Return Receipt ‎(Termination of Jurisdiction)‎
• From: Landowners
• To: DRMS
• Type & Sequence: SL6
• Email Name: KAG
• Media Type: D
• Archive: No

¦ Complete iteme1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
¦ Print your name and address on the reverse
so that we can return the card to you.
¦ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
Gary Tanis
22207 S. Ridge Line Dr
Trinidad, Co 81082
A. Xlure
Agent
G ., ? Addressee
Recei d by (Printed Name) C. Date of Delivery
D. Is delivery address different from item 1? ? Yes
If YES, enter delivery address below: ? No
3. Service Type
Certified Mail ? Express Mail
? Registered ? Return Receipt for Merchandise
? Insured Mail ? C.O.D.
4. Restricted Delivery? (Extra Fee) ? Yes
2. Article Number
(FransferfromseMcelabel) 7003 1680 0000 6431 4535
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
¦ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
¦ Print your name and address on the reverse
so that we can return the card to you.
¦ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
William Chapman
18956 West 59th Place
Golden, Co 80403
A.
Name)
D. Is delivery address Hrfferent from item 1? '9 Y(/ Ps
If YES, enter delivery ddress below: ? No
gp2 ?,5 -q?C-L
C l 6417
3 S rvice Type
Certified Mail ? Express Mail
? Registered ? Return Receipt for Merchandise
? Insured Mail ? C.O.D.
4. Restricted Delivery? (Extra Fee) ? Yes
2. Article Number -
(transfer from service label) ?006 3450 0000 4880 0 711
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
¦ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
¦ Print your name and address on the reverse
so that we can return the card to you.
¦ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
Donald W. MacDonald
Coors Energy Company
P.O. Box 467 -
Golden, CO 80402
A. Signfure
? Agent
1u " ? Addre:
B. Re' ived by tinted Name C. Date of Deli
L (n )J A i? i lJ S =13 --?
D. Is delivery address different from item 1? ? Yes
If YES, enter delivery address below: ? No
3. rvice Type
rt red Mail ? Express Mail
? Registered ? Return Receipt for Merchandise
? Insured Mail ? C.O.D.
1 4. Restricted Delivery? (Extra Fee) ? Yes
2. Article Number 7006 3450 0000 4878 3267
(Transfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540