2015-03-16_GENERAL DOCUMENTS - M1997027

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COMPLETE • CO ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. gnatur item 4 if Restricted Delivery is desired. X - 'Agent I ■ Print your name and address on the reverse GCS' 5�: ❑Addressee f so that we can return the card to you. B. ceive by(Prin am C: Date qt D j ■ Attach this card to the back of the mailpiece, ti or on the front if space permits. D. Is delivery address differ from item 1? 1.1.,Yes 1. Article Addressed to: If YES,enter delivery address below: t a No i Mr. R, Chauncey Luttrell Gray Rock Aggregate Company, LLC P 0 Box 342 Montrose CO 81402 3. Service Type �^ ♦Certified Mail- ❑Priority Mail Express'" - --- !r ❑ Registered ❑Return Receipt for Merchandise ❑ Insured Mail ❑Collect on Delivery 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number • _fka 7014 2120 0001 8040 1733 ' r�sfer from service/abet) w.� ma UNITED 9iATESt aid • Sender: Please print your name, address, and ZIP+4®in this box* State of Colorado Department of Natural Resources Division of Reclamation,Mining&Safety 1313 Sherman Street, Suite 215 Denver,CO 80203 ,- U Spec Safi yv- File 1; /9979,� 7 61i,rtifled Mail service provides the following bone%: ■A Certified Mail receipt(this portion of the- m ca4 elude applicable postage to Certified Mail �✓I� ■A uni qua iden b STD eipt service fee;and q end ailpiece"Return Receipt■Electronic verification of delivery a retail associate for delivery. � ��}} p� 1 assi ectronic return receipt, ■A record of del Ye{�(InCiu ' pens see a retail associate for assistance.To signature)that is retained by the Postal receive a duplicate return receipt,present Services for a specified period. this USPS®-postmarked Certified Mail receipt to the retail associate,who will ' Important Reminders: provids a duplicate return receipt for no s'■You may purchase Certified Mail service with' additional fee. First-Class Mails,First-Class Package Service Restricted delivery service,which provides ,or Priority Mail service. delivery to the addressee specified by name, ■Certified Mail service is not available for or to the addressee's authorized agent. International mail. Include applicable postage to cover the ■Insurance coverage is notavallable for restricted delivery fee and endorse the purchase with Certified Mail service.However, mailpiece"Restricted Delivery,"or see a TM the purchase of Certified Mail service does not retail associate for assistance. service change the insurance coverage automatically ■To ensure that your Certified Mail receipt is 35il MAILP RECEIPT included with certain Priority Mail items. accepted as legal proof of mailing,it should ■For an additional fee,you may request the bear a USPS postmark.If you would like a wy following services: postmark on this Certified Mail receipt,please -Return receipt service,which provides you present your Certified Mail item at a Post ��'■ with a record of delivery(including the Office'for postmarking.If you don't need a � !•_� ' recipient's signature).You can request a postmark on this Certified Mail receipt,detach Postage. ' hardcopy return receipt or an electronic the barcoded portion of this label,affix it to the cveUWhjr o c eturn receipt, mailpiece,apply appropriate postage,and certified Fee: �t ol, $0.485 Receipt,attach PS Forr�,�s- "i to yolu�f"ROO ser�a frf�(�p�ro �r b8 Return Receipt F7e: 10 $3.45 Ps Form 3800,uuiy 2014(kevre•,I PsN 7530-02-000•9047 Z 10 yyy�tt $2.80 ^� Be Rece,N.,total Pp u 2 to (Endorsement Required) stage. Fe o �; Restricted Delivery Fee O $6.735 (Endorsement Required) ni ri Total Postage&Fees ru Sent To a Mr. R, Chauncey Luttrell LLC o O% Gray Rock Aggregate Company, °i P 0 Box 342 Montrose, CO 81402