2015-03-16_GENERAL DOCUMENTS - M1977231 (2)

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I SENDER: COWLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Signature item 4 if Restricted Delivery is desired. ❑Agent ■ Print your name and address on the reverse ❑Addressee I so that we can return the card to you. B. Received by(Printed ame) C. Date of Delivery ■ Attach this card to the back of the mailpiece, _ or on the front if space permits. i D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑No i Mr. Scott Thorson Pueblo Bank & Trust 1401 Main Street 3. Service Type l Canon-City, CO 81212 Certified Mail' ❑Priority Mali Express- y, ❑ Registered ❑Return Receipt for Merchandise ❑ Insured Mail ❑Collect on Delivery i 4. Restricted Delivery?(Extra Fee) ❑Yes i 2. Article Number (transfer from service label) 7 014 2120 0001 8040 1726 PS Form 3811,July 2013 UNITED STATE S'1°WAI'MI-i"WICE First-Class Mail co 801, Postage&Fees Paid Certified Mail service provides the following benefits: , MAR :x LISPS ■ Permit No.G-10 A Certified Mail receipt(this portion of the mailpiece;Include applicable postage to Certified Mai ceipt service fee;and ■A unique n after forur m y al piece. endorse the mailpiece"Return Receipt ■Electronic verificatio f de jry� at�al�pjd)j Requested,"or see a retail associate for ' Sender: Please print our name, address, and ZIP+411 in this box* delivery. File tt VV1l�r "r electronic return receipt, y ■A record of delivery(inclu Ing the recipient's see a retail associate for assistance.To signature)that is retained by the Postal receive a duplicate return receipt,present State of Colorado Service®for a specified period. > this USPS®-postmarked Certified Mail Important Reminders: 2��"/ j receipt to the retail associate,who will Department of Natural Resources is You may purchase Certified Mail service with' provide a duplicate return receipt for no y p additional fee. Division of Reclamation,Mining&Safety First-Class Mail ,First-Class Package -Restricted delivery service,which provides Service®,or Priority Mail®service. delivery to the addressee specified by name, 1313 Sherman Street, Suite 215 is Certified Mail service is notavailable for or to the addressee's authorized agent. international mail. Include applicable postage to cover the Denver,CO 80203 1-d L Wi Spec T24 is Insurance coverage is notavailable for restricted delivery fee and endorse the I ��Lai purchase with Certified Mail service.However, mailpiece"Restricted Delivery,'or see a File pi the purchase of Certified Mail service does not retail associate for assistance. change the insurance coverage automatically ■To ensure that your Certified Mail receipt is included with certain Priority Mail items. accepted as legal proof of mailing,it should is For an additional fee,you may request the bear a USPS postmark.If you would like a following services: postmark on this Certified Mail receipt,please -Returq 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 111ti�flilli'II�II��II'Ill"dill"��'l�l�l"I'�il'1�111'llil�ll hard e n ie�g'�0.ttg(�an electron,' the barcoded portion of�I,�la t to the versi�rififtf�A�Oloot.k R0001@�, Pip d complete PS Form 3811,Domestic Return deposit the mailpiece. Receipt,attach PS Form 3811 to your IMP09TAN 11 Save this receipt for your records. PS Form 3800,July 2014(Reverse)PSN 7530-02-000-9047 U.S. postal Service" CERTIFIED O r• ■ ..0 Domestic Mail Only ru r. Iff o Postage: F: io $0.485 C3 Certified`Fee: - co �4 $3.45 Return Receipt;fe: y a �� 2.80 0 Re 4 � m d (Fodor Total Postage & Y es: 0 Restricted Delivery reo o 16.735 (Endorsement Required) �1r t�s � Total Postage 8 Fees , ru I- Siin_ Mr. Scott Thorson ________ ____ _ ____ ra F Street'&Apt'. Pueblo Bank &Trust C3 or Po Box ------------------'-- City State,2 1401 Main Street Canon City, CO 81212_ . ,