2010-08-17_REVISION - C1981019

• Permit No: C1981019
• IBM Index Class Name: REVISION
• Doc Date: 8/17/2010
• Doc Name: Certified Card ‎(Inspection)‎
• To: DRMS
• Type & Sequence: SL5
• Email Name: JRS
• Email Name: SB1
• Media Type: D
• Archive: No

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¦ Complete items 1, 2, and 3. Also complete A signature
item 4 if Restricted Delivery is desired.
¦ Print your name and address on the reverse
so that we can return the card to you. eceived by ranted Name)
¦ Attach this card to the back of the mailpiece,
or on the front if space permits.
D. Is delivery address different fro
1. Article Addressed to: If YES, enter delivery address
CiC
Colorado Department of Natural Resources
? Agent
of Delivery 1? ? Yes
? No
Colorado State Board of Land Commissioners AUG .? 2010
1127 Sherman Street, Suite 300
Denver, Co 80203 **TypeDivision of eciama I ,
O certteed mail Mil,fety
L O Registered ? Return Receipt for Merchandise
? Insured Mail ? C.O.D.
4. Restricted Delivery? (Extra Fee) ? Yes
2. Article Number
(Transfer from service labeo
PS Form 3811, February 2004
7007 3020 0001 6340 0799
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:
Bureau of Land Management
Colorado State Office
285o-nYoungfield Street --
LaKewood, Co 80215-7076
A. Signature ? Agent
2Re7r ? Addressee
b ( Printed Name) C. Date of Delivery
D. Is delivery address different from item 1? ? Yes
If YES, enter delivery address below: ? No
rIECEIVED
AUG 17 2010
3. Service Type LAV/W4N1 VI r?c?,i?+11?BdFFJd'd,
0 Certified Mail N11*41180>62f
? Registered ? Retum Receipt for emhandise
? Insured Mail ? C.O.D.
4. Restricted Delivery? (Extra Fee) ? Yes
2. Article Number - - -
(rransfer from service label) 7007 3020 0001 6340 0782
-
Ps Form 3811, February 20 102595-02-M-1540
4