Laserfiche WebLink
i <br />UNITED STATES POSTAL SERVICE <br />First -Class Mail <br />Postage & Fees Paid <br />LISPS <br />Permit No. G -10 <br />• Sender: Please print your name, address, and ZIP +4 in this box • <br />State of Colorado <br />RECEIVED Department of Natural Resources <br />Division of Reclamation, Mining & Safety <br />2013 1313 Sherman Street, Suite 215 <br />JUL 2 5 Denver, CO 80203 S -- OF FEWMA41" CLE, S81 <br />�N 1982_057 <br />SL -5, 7118113 <br />Fiti# �t�til,►' lilll�liliFilii'{ �ifr 'i�t��isi3ffi�litf�t��tlii3ll� <br />• Complete items 1, 2, and 3. Also complete A. Signature <br />item 4 if Restricted Delivery is desired. \ ����y� /,1 Agent <br />• Print your name and address on the reverse X ~LAG!/' (/) <br />so that we can return the card to you.' Addre <br />• Attach this card to the back of the mailpiece, B Received by (Printed Name) C. Dat of Deli <br />or on the front if space permits. ,�� <br />1. Article Addressed to: <br />Colorado State Land Board <br />Northwest District Office <br />555 Breeze <br />P.O. Box 1094 <br />Craig, CO 81626 <br />D. Is delivery address different from item 1? esY <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />❑ Certified Mail ❑ Express Mail <br />O Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) p Yes <br />2. Article Number <br />(Transfer from service label) 7 010 1060 0001 0 9 3 6 2165 <br />r.,j corm 0011, February 2004 Domestic Return Receipt 102595 -02 -M -1540 <br />