Laserfiche WebLink
• Complete Items 1, 2, and 3. Also complete <br />item 4 If Restricted Delivery Is desired. <br />• Print your name and address on the reverse <br />so that we can return the card to you. <br />• Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />SENDER: COMPLETE THIS SECTION <br />COMPLETE THIS SECTION ON DELIVERY <br />0 Agent <br />ddressee <br />C. Date o De very <br />1. Article Addressed to: <br />2. Article Number <br />(Transfer from service label) <br />Bill Bear <br />Bowie Resources <br />P.O. Box 483 <br />Paonia, CO 81428 <br />UNITED STATES POSTAL SERVICE <br />PS Form 3811, February 2004 Domestic Return Receipt <br />• Sender: Please print your name, address, and ZIP +4 in this box • <br />STATE OF COLORADO <br />DEPARTMENT OF NATURAL RESOURCES <br />DIVISION OF RECLAMATION, MINING & SAFETY <br />1313 SHERMAN STREET, SUITE 215 <br />DENVER, CO 80203 <br />C -1996 -083 <br />CV2012 -004 <br />Notice and Order to Pay Fixed Penalty <br />lif,l : ii: its=. �= fli �i��' I d „>i � i a� <br />D. Is delivery addresstllttaten .ri1 item 1? • <br />If YES, enter delivery address belQVy;- <br />3. Service Type <br />0 Certified Mail <br />0 Registered <br />0 Insured Mail <br />4. Restricted Delivery? (Extra Fee) <br />7009 2820 0003 5700 6571 <br />, fJAiER RESOURUE` <br />STATE oNGINSF^ <br />0 No <br />0 Express Mail <br />0 Return Receipt for Merchandise <br />0 C.O.D. <br />0 Yes <br />102595 -02 -M -1540 <br />First -Class Mail <br />Postage & Fees Paid <br />LISPS <br />Permit No. G -10 <br />