Laserfiche WebLink
SENDER: • 1N COMPLETE THIS SECTIONON DELIVERY <br /> ■ Complete Items 1,2,and 3. A. Signature .L t <br /> ■ Print your name and address on the reverse X.J- ��❑Agent <br /> so that we can return the card to you. e ,(�Gt Ci`���,ddresse <br /> ■ Attach this card to the back of the mailpiece, E Received by(Printed Name) G. Date of Deilve, <br /> or on the front if space permits. —�-9/3 1 i7 <br /> 1. Artic!a Addressed to D. Is dalivery address dill rant from t m 1? ❑ Yes <br /> If YES,enter delivery address below ❑ No <br /> Mr. Jordan C. and Jone L. Burdick <br /> 2707 GIade Road <br /> Loveland,CO 80538 <br /> 3. Service Type 0 Pnonty Mad E<pressiv <br /> I I l I Adult Signature ❑Registered Mad"n <br /> Adult Sigrature Restricted Delivery ❑R=_g,stered Mad Restnc <br /> F1 Certified Matic) Delivery <br /> q '-Certified Mail Restricted Delivery El Return Receipt for <br /> 9-5190 94027 2543 6306 1372 120 _Collect on Delivery Merchandise <br /> 2. Article Number(Transfer from service label) -Collect on Delivery Restricted Delivery C-'S grature Confirmatici <br /> r1 <br /> Insured Mail ❑Signature Confirmation <br /> 7 016 21400000 2345 7134 -Insured Mad Restricted Delivery Restricted Delivery <br /> (overS5001 <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Recef <br /> USP W #f. <br /> First- <br /> Crass Mail <br /> Postage&Fees Paid <br /> USPS <br /> Permit No.G-10 <br /> 9590 9402 2543 6306 1372 20 <br /> United States •Sender:Please print your name,address,and ZIP+4®in this box• <br /> Postal Service State of Colorado <br /> Department of Natural Resources <br /> Division of Reclamation, Mining&Safety <br /> 1313 Sherman Street, Suite 215 <br /> Denver, CO 80203 Spec /17' <br /> File WTIV 072, <br /> ll'ill'1'11'llilillltl'ili,lttli��itit'll'�i"'l��'Itl'tl'li"Ill <br />