REV101893

• Permit No: M1980246
• IBM Index Class Name: Revision
• Doc Name: CERT MAIL CARD
• Type & Sequence: CN1
• Media Type: D
• Archive: No

r~
! v SENDER:
e • Complete items 1 entl/or 2 for atltlitionel aervicea.
• Complete Rams 3, entl ee 6 b.
• Pdnt your name and adMass on the revane o1 Mia form so thet we ten
~ ANm thin card to you.
` • Anech this form to [he hoot or the mailgsca, or on the back if space
e .does rat permit.
• Write"getum gaceipt Regwatad"on the mailputt below tM article number
• The Rehm Paceipt will show a whom the arbcM wee tlebverad entl Me date
I G delivered.
j e 3. Article Addressed to: 4a. AA
« La $is~a Soil Conservation P 7f
e
! E 31 S ttl S 4b. Se
1 also wish to receive the I
following services {for an extra
feel: ~ I
Z I
1. ^ Addressee's Address y° 1
.~ I
2. ^ Restricted Delivery o I
Consult postmaster for fee. ~ ~
;le Number I
3 154 431
'ice Type m i
5
~ U e treat ^ Registered ^ Insured
~ ° Durango, CO 81301 ®Certified ^ coo c i
fA
uyi ^ Express Meil ^ Return Receipt for 7
S Merchandise o I
U ~ 7. Dat of Delivery r-
C I
I Q ~i
~ . Sig cure (A d ee) 8. ddr 5see's Address (Only it requested us ~
III F ~ ~~ ~ and fee is paid) m
I
' Q 6. Signature (Agent) ~ ~I
7 I
' > PS Form 1 ,December 1991 ,w.S.cPO:+aw~sza+a DOMESTIC RETURN RECEIPT ~
RECEIVED
FEB > > 1995
Division of Minerals $ U'eoio9Y