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Certified Mail Pro' ECEI�ED <br />C1981 -00C <br />■ A mailing receipt <br />■ Aunique identifierfc SL -17 SEP 18 2015 <br />■ A record of delivery <br />Important Reminders Inspection Notofi l bn, <br />■Certified Mail may C bfb/ahh ' Division & Safety ail®. <br />■ Certified Mail is not, Mining <br />■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For <br />valuables, please consider Insured or Registered Mail. <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 Form 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 USPSo 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 />cle at the post office for postmarking. If a postmark on the Certified Mail <br />receipt is not needed, detach and affix label with postage and mail. <br />IMPORTANT: Save this receipt and present it when making an inquiry. <br />PS Form 3800, August 2006 (Reverse) PSN 7530-02-000-9047 <br />DkmS-1313 Sherman St: doom 215, Denver, co 80203 <br />Postal <br />(DomesticCERTIFIED MAIL,, RECEIPT <br />Lo Only; Provided) <br />CO <br />Ln <br />Ir <br />Cc0.485 <br />M Postage: <br />1­41Ir Certified Fee: �'� $3.45 <br />C3 Return Receipt Feei, ti $ .80 <br />C3 Rete 9 h <br />0 (Endorse w <br />Restrict Total Postage & Fe $6.735 <br />$6.735 . <br />C3 (EndorseRtwo n nuquireo) \ ,i <br />ul ' <br />r Total Postage & Fees <br />O <br />Bei Elma E. Burbridge <br />C3 Burbridge, Ward E and Elma E ------- <br />� or P <br />c;ry, P.O. Box 92 ........ <br />Nucla, CO 81424-0092 INN <br />