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I U.S. Postal Service <br /> CERTIFIED MAIL RECLIPT <br /> Surface Rights (Domestic <br /> Scott Koskiego <br /> 14570 N CR 7 <br /> SENT 5-23-14 <br /> Wellington, CO 80549 Ln '- <br /> rA Postage $ <br /> Certified Fee <br /> 0 Postmark <br /> C3 Return Receipt Fee Here <br /> C3 'Endorsement Required) <br /> O Restricted Delivery Fee <br /> (Endorsement Required) <br /> O <br /> "D Total Postage&Fees $ <br /> M <br /> ent To <br /> ru ! SCOTT KOSKIE --------------------._._ .. <br /> '"� "street,Ap£Aro.-:-- -- <br /> ® {�rPo Box No. 1457.0 _ N--CR__7__...__ �.. .. <br /> .___ ..... ................__. <br /> WELLINGTON CO 80549 <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> 0 Agent <br /> Item 4 if Restricted Delivery Is desired. x [3 <br /> ■ Print your name and address on the reverse <br /> so that we can return the card to you. B. Received by(Printed Name) C. Date of Deliwry <br /> ■ Attach this card to the back of the mailpiece, d—e-',tz V.. 5 yur aq <br /> - <br /> or on the front if space permits. <br /> D. Is delivery address different from item 1? ❑Yes <br /> 1. Article Addressed to: if YES,enter delivery address below: C) No <br /> SCOTT KOSKIE <br /> 14570 N CR 7 <br /> WELLINGTON CO 80549 <br /> 3. Service Type <br /> )VI Certified Mali ❑Express Mail <br /> C}Registered URetum Receipt for M char0se <br /> ❑insured Mail ❑C.O.D. <br /> 4. Restricted Delivery?(Exda Fee) C]Yes <br /> 2. ArtICIeNumber 7012 3460 0000 4415 1488 <br /> (Transfer from service ARW <br /> PS Form 3811, February 2004 parrosile Palm 102595-024M-lW <br /> MAMining\Koskie\DRMS Application\Proof of Mailings.docx Page 4 of 8 <br />