Laserfiche WebLink
UNITED STATES ICE ss Mail <br />111 & Fees Paid <br />1- a 111ECE19o.G-10 <br />I-1. '? <br />Sender: 1eb96 print your name, address, anAW" ibft� box"' <br />OM ION OF RECLAMATI01 <br />State of Colorado MININCs,AND SAFETY <br />Department of Natural Resources <br />Division of Reclamation, Mining & Safety <br />1313 Sherman Street, Suite 215 <br />Denver, CO 80203 C-1981-008 <br />SL -15 <br />Inspection Notificati <br />bfb/ahh <br />■ 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 />1. Article Addressed to: <br />lfijlllii'i"1111►1,iiilli'Illjii'�'111111111ri11111",iillifill! <br />Signature <br />❑ Agent <br />Ac^ ❑ Addressee <br />B. Received by (Printed Name)Date of Delivery <br />1 i.% 0 / <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />11 <br />Alan Boehms <br />Office of Surface Mining <br />Western Regional Coordinating Center <br />1999 Broadway, Suite 3320 <br />Denver, CO 80202 <br />Service Type <br />❑ Certified Mail® ❑ Priority Mail Express' <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 7 014 015 0 0000 913 8 9 516 <br />(Transfer from service label) <br />PS Form 3811, July 2013 "� ' — Domestic Return Receipt <br />on <br />