Laserfiche WebLink
STATE OFCOLORADI rrrl,lrrr,rrrlll�lrlrllllrrlll�rrrrl�l��rr!lrl�rrrllNlrl - ----_ ;r <br /> DIVISION OF RECLA <br /> Attn:Camille Wjai <br /> 1313 SHERMAN STREET, ROOM 215 <br /> DENVER,CO 80203 <br /> 341300000 <br /> 7016 2710 00.00 2904 5109 <br /> z <br /> Zo _ a of <br /> N <br /> v � CDc <br /> I � <br /> SENDER: • •N COMPLETE THIS SECTIONON DELIVERY <br /> ■ Complete items 1,2,and 3. A. Signature <br /> ■ Print your name and address on the reverse X ❑Agent <br /> so that we can return the card to you. ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. Date of Delivery or on the front if space permits. RE�El� <br /> 1. Article Addressed to: D. is delivery address different from item 1? El Yes <br /> If YES,enter delivery address below: ❑No <br /> Eustice Zacher <br /> 804 30th Ln. <br /> Pueblo, CO 81000 DIVISION OF"REC <br /> MINING AtZ. <br /> 3. Service Type �Priority Mail Express® <br /> 111111111 <br /> l I IIIIII I'll III I II I II I I l l I III I I I I I I I Adult Signature ❑Registered Mail <br /> ❑Adult Signature Restricted Delivery ❑Registered Expr Restricted <br /> Certified Mail® Delivery <br /> 9590 9402 2543 6306 1368 65 Collect Mall Restricted Delivery Merrchandiseipt for, <br /> ❑Collect on Delivery <br /> 9 ArtICIH Numher(Transfer from service label) Collect on Delivery Restricted Delivery El Signature ConfirmatloAT^ <br /> --_.f Mail ❑Signature Confirmation` ~ <br /> 7 016 2 710 0000 2904 5109 i Mail Restricted Delivery Restricted Delivery -„ <br /> �500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt j <br /> �13XIE S�8 1 $61Z%07j1 <br /> TO SENDER <br />