2010-09-15_REVISION - C1980001

• Permit No: C1980001
• IBM Index Class Name: REVISION
• Doc Date: 9/15/2010
• Doc Name: Certified Return Receipt ‎(Inspection Notification)‎
• From: Chevron Mining, Inc.
• To: DRMS
• Type & Sequence: SL11
• Email Name: JHB
• Media Type: D
• Archive: No

C-1980-001
(Inspection Notification)
jhb
SL-1 I
¦ Complete items 1, 2, and 3. Also complete A.
item 4 if Restricted Delivery is desired.
¦ Print your name and address on the reverse
so that we can return the card to you. B
¦ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
?Steven Leac
'Chevron Mining, Inc.
1116 Inverness Drive East, Suite 207,
Englewood, CO 80112
T7--- 1 11?? au
!Is ?del! iv qy ted Na e) Cat of
v y address different from Item 17 YeE
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
(Transfer from service labeq ?008 3230 0002 ?253 1920
s Form ?idl 1, February 2004 Domestic Return Receipt 102595-02-M-1540