Laserfiche WebLink
UNITED STATES—ft RVICE First -Class Mail <br />rr `Vi Postage & Fees Paid <br />USPS <br />`' _ 11V- it, Permit No. G-10 <br />{ <br />ender: Please print your name, address, and ZIP' ®` ilti.Yhox• <br />REAS V <br />State of Colorado Nov 2 0 2015 <br />Department of Natural Resources <br />Division of Reclamation, Mining & WffliDpN OF RECLAMATION <br />1313 Sherman Street, Suite 215 MINING & SAFETY <br />Denver, CO 80203 C-1981-010 ` <br />SL -17 - <br />TNL/AHH <br />Ililrl�rittEiii�lri+l�r��irflt+Il�a�+�ri�ss►ii#1111; Notification L <br />r ,1111° Complete items � $ %1'� complete <br />item 4 if Restricted-�b�iveryis clested. <br />IN Print your name Imanllrgss 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 />A. Signature <br />1 gnat�ure <br />X`J � Adent <br />� 11 Addressee <br />B. Received by (Print d Name) C. Date of Delivery <br />D. Is delivery address different from item 11 ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />Alan Boehms <br />Office of Surface Mining <br />Western Regional Coordinating Center <br />1999 Broadway, Suite 3320 <br />Denver, CO 80202 vice Type <br />__'ertified Mail® ❑ Priority Mail Express' <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ Collect on Delivery <br />r _ <br />4. Restricted Delivery? (Extra Fee) <br />2. Article Number - <br />Mmsfer from service label) 7 014 0150 0000 913 8 5495 <br />PS Form 3811, July 2013 Domestic Return Receipt <br />❑ Yes <br />