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2015-03-16_GENERAL DOCUMENTS - M1985112
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2015-03-16_GENERAL DOCUMENTS - M1985112
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Last modified
9/9/2020 1:56:24 PM
Creation date
3/15/2016 4:30:30 PM
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Template:
DRMS Permit Index
Permit No
M1985112
IBM Index Class Name
General Documents
Doc Date
3/16/2015
Doc Name
Certified Mail Receipt
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DRMS
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DRMS
Media Type
D
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No
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SECTIONSENDER:COMPLETE TkIS SECTION COMPLETE TI-PS DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete Si r <br /> item 4 if Restricted Delivery is desired. ❑_AQent i <br /> ■ Print your name and address on the reverse ❑Addressee ! <br /> so that we can return the card to you. B. R eived� fin <br /> ■ Attach this card to the back of the mailpiece, te <br /> or on the front if space permits. 1 <br /> D. Is delivery a dress different fro . ' 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery104L, J] No <br /> Mr. Randy Geist tl&' Q J <br /> Loloff Construction, Inc. <br /> 801 8th Street Suite 130 3. Service Type <br /> ❑Certified Mails I � ess- I <br /> Greeley, CO 80631 ❑Registered ❑J $ed� fo'r Merchandise I, <br /> ❑Insured Mail ❑Coi(e'8t'HfrfSelivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7 014 1715 0 0 0 913 8 916 5 <br /> (Transfer from service label) 1 <br /> PS Form 3811,July 2013 Domestic Return Receipt �(� <br /> NEWER <br /> UNITED STATES PO�l "CE First-Class Mail <br /> Postage&Fees Pald <br /> i -i MAR `16 USPS <br /> Permit No.G-10 <br /> • Sender: Please print your name, address, and ZIP+4®in this box* <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 <br /> jp2C.�Gi1� Spec. <br /> Certified Mail Provides: File t l S//a File #-dAfVk? <br /> ■ A mailing receipt <br /> ■ A unique identifier for your mailpiece arb <br /> ■ A record of delivery kept by the Postal Service for two years <br /> Important Reminders: <br /> Illllif►IlNlii�lllill�llllilrlll���l���II'ill��li"Il�n�l�i►1n <br /> ■ Certified Mail may ONLY be combined with First-Class Maile or Priority Mail®. <br /> in 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. <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 USPSe postmark on your Certified Mail receipt isPostal ServiceTIJ <br /> required. <br /> ■ For an additional fee, delivery may be restricted to the addressee or <br /> 'r.'TIFIED MAIL,,, RECEIPT <br /> addressee's authorized agent.Advise the clerk or mark the mailpiece with the <br /> endorsement"Restricted Delivery". stic Mail Provided) <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. fi,, f, r,� <br /> IMPORTANT:Save this receipt and present it when making an inquiry. <br /> PS For 4A.A�iHVsi�BAS,�fl r� SA1t3�r7��i�P,4Ailfiiler,CO 80203 Postage: $0.48.5 <br /> a <br /> Certified Fee: \\AJ, ��q <br /> o (Endc Return Receipt Fee: <br /> C3Rest <br /> C3 (Endo <br /> Lr) Total Postage & FeeS: ' 3 <br /> if <br /> r-9 Total Postage&Fees <br /> O <br /> entro Mr. Randy Geisf'�5_ e- <br /> o Loloff Construction, Inc. <br /> f` or-PO Box No.----- 801 8th Street, Suite 130--------- <br /> City,SYete,Z1P+4 <br /> Greeley, CO 80631 <br />
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