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Postal <br />CERTIFIED MAILT. RECEIPT <br />rO (Domestic maii Only; No Insurance Coverage Provided) <br />Er <br />,.D <br />m Postage: <br />,0 Certified Fee: $0.48 <br />o Return Receipt Fee: $3,30 <br />ED `$2.70 <br />O <br />m Total Postage & Fees: <br />M <<, , ..._ $6.48 <br />_n <br />� Total Postage & Fees $ <br />M <br />ni se�tTo Moffat County Commissioners <br />r-q ------ - - - - -- Count y Commissioner <br />� Street, Apt. I <br />orP0 Box A 221 W Victory Way ----- - - - - -- <br />City State,: Craig, CO 81625 <br />PS Form :00 August 2006 See KeverseTo`r"rn—$tr'u�Cfi0 <br />RECEIVED <br />JAN 13 2015 <br />DMSION OF RECLAMATION <br />MINING AND SAFETY <br />Certified Mail Provide$ <br />• A mailing receipt I <br />• A unique identifier for your X-2005- 109-11 <br />• A record of delivery kept b r <br />Important Reminders: S L-2 --- <br />• Certified Mail may ONLY be Proposed Dec <br />• Certified Mail is notavailable ority Maile <br />• NO INSURANCE COVERA, J d m/a h h <br />valuables, please consider Insured or Registered Mail. Mail. For <br />■ For an additional fee, a Return Receipt may be requested to provide proof of <br />delivery. To obtain Return Receipt service, please complete and attach a Return <br />Receipt (PS Fora 3811) to the article and add applicable postage to cover the <br />fee. Endorse mailpiece "Return Receipt Requested ". To receive a fee waiver for <br />a duplicate return receipt, a USPSs postmark on your Certified Mail receipt is <br />required. <br />• For an additional fee, delivery may be restricted to the addressee or <br />addressee's authorized agent. Advise the clerk or mark the mailpiece with the <br />endorsement "Restricted Delivery <br />• If a postmark on the Certified Mail receipt is desired, please present the arti- <br />relceipt is nott needed, detach and affix label with postage and mail. <br />Certified Mail <br />IMPORTANT: Save this receipt and present it when making an inquiry. <br />PS Form 3800, Au ust 2006�((Reverse) PSN 7530 -02 -0 0 7 <br />ORf4t -1313 5hefman St. Room ��ti, Uenver, Co 80203 <br />UNITED STATES POSTAL SERVICE <br />• Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />• Print your name and address on the reverse <br />so that we can return the card to you. <br />• Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />First -Class Mail <br />Postage & Fees Paid <br />USPS <br />Permit No. G -10 <br />• Sender: Please print your name, address, and ZIP +4 in this box • <br />Moffat County Commissioners <br />County Commissioner <br />221 W Victory Way <br />Craig, CO 81625 - -- <br />State of Colorado <br />Department of Natural Resources <br />Division of Reclamation, Mining & Safety <br />1313 Sherman Street, Suite 215 .2005-�09-�4 <br />X <br />SL -2 <br />Propose d Dec <br />f drn�ahh i <br />Denver, CO 80203 <br />A lSilinature <br />I ❑Agent <br />ie ❑ Addressee <br />Fiecii1lived ylRrinted Nate) C. Date op <br />�ICvery <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />❑ Certified Mail ❑ Express Mail <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number <br />(Fransfer from service label) 7 012 3460 0 0 0 0 6384 619 8 <br />PS Form 3811, February 2004 Domestic Return Receipt 102595 -02 -M -1540 <br />