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SENDER: COMPLETE THIS SECTIO 1,COMPLETE T141S SECTION ON DELIVERY <br /> ■ Gemplete items 1,2,and 3.Also complete A. Signature a 2016 <br /> item 4 if Restricted Delivery is desired.— ; <br /> rs EAR El Agent <br /> ■ Print your name and address on the reverse X 0 Addressee <br /> se that we can return the card to you.— B. Receiv by d C. Date of Delivery <br /> s Attach this card to the back of the mailpiece, <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: ❑ No <br /> CI��E 3�K <br /> L't <br /> �r �i` v <br /> f� is / 5i� 517o 1 3. Se T e <br /> yp <br /> Certified Mail", ❑Priority Mail Express'" ddd <br /> 0 Registered ❑Return Receipt for Merchandise <br /> ❑Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) CQ Yes <br /> 2. Article Number 6 7 014 015 0 0000 913 8 7987 <br /> (transfer from service labeq <br /> UNITED STATES POSTAL SERVICE <br /> rt, T First.6•bass Aril <br /> ostage&..Fees Paid w <br /> e h _US <br /> P <br /> • Sender: Please print your na addre , and ZIP+> '-in thisoz•" - <br /> • .__ - <br /> State of Colorado <br /> Department of Natural Resources <br /> Division of Reclamation, Mining & Safety <br /> 1313 Sherman Street, Suite 215 <br /> Denver, CO 80203 Spec kL <br /> File u1a <br /> Certified Mail Provides: Spec. <br /> ■ A mailing receipt File# ,,(,1-(�j G�®�7 ,i1,I#Jill <br /> #'#I#tt„i#I,#1�«#il#„#II## ,�I'i�,l,i, <br /> ■ A unique identifier for your mailpiece <br /> ■ A record of delivery kept by the Postal Service for two years <br /> Important Reminders: <br /> ■ Certified Mail may ONLY be combined with First-Class Mail®or Priority Mail®. <br /> ■ Certified Mail is not available for any class of international mail. <br /> ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For <br /> valuables,please consider Insured or Registered Mail. Service,,, <br /> ■ For an additional fee,a Return Receipt may be requested to provide proof of Postal <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 fornestic Mail. . Insurance Coverage <br /> a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is <br /> required. <br /> ■ For an additional fee, delivery may be restricted to the addressee or r delivery oformation visit our website at• "r=. <br /> addressee's authorized agent.Advise the clerk or mark the mailpiece with the i <br /> endorsement"Restricted Delivery". <br /> ■ if a postmark on the Certified Mail receipt is desired,please present the arti- r t t `ti ;j` <br /> cle at the post office for postmarking. If a postmark on the Certified Mail Postage $ �. , <br /> receipt is not needed,detach and affix label with postage and mail. NW9 v�i' <br /> 5. <br /> IMPORTANT: Save this receipt and present i�wh,1i,f haninquiry. Postage: W <br /> PS Forrn3gf�puo, SQ �p�SWM5%MW b t Certified Fee: I <br /> s<rk Return Receipt Fee`." " <br /> C3 (Endors <br /> '1 <br /> � Total i Total Postage & Fees: 802A 35 <br /> 0 <br /> Sent To <br /> O weer,Apt jv-, <br /> or PO Box No. t� <br /> _ L1(� <br /> City,State,ZIP+4 <br /> _PS Form <br /> 3800-,-August 2006 <br />