Laserfiche WebLink
L <br />UNITED STATES POSTAL SERVICE <br />i <br />First -Class Mail <br />Postage & Fees Paid <br />USPS <br />Permit No. G -10 <br />• Print your name, address, and ZIP Code in this box • <br />State of Colorado G��G10 <br />Department of Natural Resources <br />Division of Reclamation, Mining & Safe/" <br />1313 Sherman Street, Room 215 <br />Denver, CO 80203 <br />A <br />C1981 -033 <br />CO- 2013 -001 <br />_Y� .....a nrrinr tn Pay Fixed Pen; <br />SENDER: <br />9 <br />■ Complete items 1 and/or 2 for additional services. <br />I also wish to receive the <br />■Complete items 3, 4a, and 4b. <br />following services (for an <br />■ Print your name and address on the reverse of this form so that we can return this <br />extra fee): <br />j <br />card to you. <br />■Attach this form to the front of the mailpiece, or on the back if space does not <br />1. ❑ Addressee's Address <br />d <br />permit. <br />d <br />■ Write'Retum Receipt Requested' on the mailpiece below the article number. <br />2. ❑ Restricted Delivery <br />N <br />■The Return Receipt will show to whom the article was delivered and the date <br />c <br />delivered. <br />Consult postmaster for fee. <br />E <br />3. Article Addressed to: <br />I A- A. -I_ --l- <br />y <br />0 <br />7229 2828 0003 5722 6861 <br />a <br />Mr Daniel Bear <br />E <br />0 <br />Bear Coal Company <br />4b. Service Type <br />.' <br />Cn <br />1326 War Emblem Lane <br />❑Registered certified <br />oRock <br />Springs, WY 82901 <br />❑ Express Mail ❑ Insured <br />c <br />❑ Return Receipt for Merchandise ❑ COD <br />a <br />7. Date of Delivery <br />Z <br />, F <br />T <br />5. Received By: (Print Name) <br />8. Addressee's Address (Only if requested <br />and fee is paid) <br />t <br />6. Signature: (Ad ess a orAgen <br />~ <br />T <br />X If <br />PS Form 381 ember 1994 <br />Domestic Return Receipt <br />IIt <br />