Laserfiche WebLink
COMPLETE •N COMPLETE THIS SECTIONON DELIVERY <br /> ■ Complete items 1,2,and 3. A. Signature <br /> ■ Print your name and address on the reverse X G,(/�,� 1�/// ❑Agent <br /> so that we can return the card to you. ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, ,jeived y(Pnn e N e) Date of Deliveor on the front if space permits. D. addrw d�fere'*f m it 1? ❑Yes <br /> Mr. Christ Van Valkenburg If YES,enter delivery address below: ❑ No <br /> Van Valkenburg Cattle Co.,LLC APR 2 Q z' 021 <br /> 12353 Hwy 14 <br /> Coalmont.CO 80480 DIVIMIN OF RECLAMATION <br /> M-2016-033 P. Hays WNGAPUSAF'ETY <br /> I I' ICI II I II I I II I I I I I II I "III 3. Service Type ❑Priority Mail Expresso <br /> O Adult Signature ❑Registered MaiITM <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> ❑Certified Mailo Delivery <br /> 9590 9402 2543 6306 1125 79 ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery 0 Signature ConfirmationTM <br /> !Insured Mail ❑Signature Confirmation <br /> 7 2400 0000 n 111 p 1 4 3 9 7 Insured Mail Restricted Delivery Restricted Delivery <br /> (over$500) <br /> =orm 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />