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06MPLETE THIS SECTION • • ON
<br /> ■ Complete items 1,2,and 3.Also complete A. Signature
<br /> item 4 if Restricted Delivery is desired. ❑Agent
<br /> X
<br /> ■ Print your name and address on the reverse 119� ❑Addressee
<br /> so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery
<br /> ■ 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 /> Mr. Bill Tezak
<br /> Colorado Quarries, Inc.
<br /> 270 S. 15th Street 3 S�ve rtified Mail` ❑Priority Mail Express'"
<br /> Canon Cityice Type
<br /> CO 81212 ❑Registered ❑Return Receipt for Merchandise }
<br /> - ❑ Insured Mail ❑Collect on Delivery F
<br /> 4. Restricted Delivery?(Extra Fee) ❑Yes
<br /> 2. Article Number 7014 2120 0001 7871 1851
<br /> (Transfer from service Iabe1J
<br /> PS Form 3811,July 2013 Domestic Return Receipt
<br /> 1. :r+4'',t`'I`r:R
<br /> UNITED STATES twNl. RVICE First-Class Mail
<br /> Postage&Fees Paid
<br /> n��,'r 1�r-4 ,Iki LISPS
<br /> Permit No.G-10
<br /> • Sender: Please print your name, address, and ZIP+411 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 T-Kc, GW bust Spec "Cu
<br /> File M 1 11 /v8
<br /> t'Illli'lit'��t'lrl'11i'I'��'IIII��'ll�f'illlll,l�l�l'llllrilillf
<br /> Certified Mail service provides t e following benefits:
<br /> ■A Certified Mail race ip isDDortiq�f�� mailpiece;include applicable postage to
<br /> Certified Mail labeq. �/ cover the return receipt service fee;and
<br /> ■A unique identifk3 ur m�. endorse the mailpiece"Return Receipt a
<br /> Postal Service"'
<br /> ■Electronic verifica otf n 0,det myurMumpuld E€a retail associate for . o
<br /> delivery. ssistance.For an electronic return receipt
<br /> RECEIPT
<br /> ■A record of delivLblc#din j,0e-�i 1 Wee a retail associate for assistance.To r1 •. Only
<br /> signature)that is re ained turn receipt,present Ln
<br /> Service®for a specified period. this USPS®-postmarked Certified Mail cp information,[ For delivery - I
<br /> receipt to the retail associate,who will ra _., {+ r , a
<br /> Important Reminders: provide a duplicate return receipt for no t` la U� G■You may purchase Certified Mail service with additional fee. �, u '�
<br /> First-Class Mail®,First-Class Package Restricted delivery service,which provides N d a ,�;
<br /> Service ,or Priority Mail service. delivery to the addressee specified by name, ca a^�'"^^ u y `O
<br /> ■Certified Mail service is not available for or to the addressee's authorized agent. r %
<br /> international mail. Include applicable postage to cover the Postage: �0 ````rL' 925
<br /> ■Insurance coverage is notavailable for restricted delivery fee and endorse the r v �p\` n .45
<br /> purchase with Certified Mail service.However, mailpiece"Restricted Delivery,"or see a Re Certified Fee. , M
<br /> the purchase of Certified Mail service does not retail associate for assistance. p (Endors ,7$2.80
<br /> change the insurance coverage automatically ■To ensure that our Certified Mail receipt Is Return Receipt Fie,;`.,. �,
<br /> included with certain Priority Mail items. accepted as legal proof of mailing,it should � Restric t I C`�
<br /> ■For an additional fee,you may request the bear a USPS postmark.If you would like a 0 (Endom
<br /> following services: postmark on this Certified Mail receipt,please C3 7.175
<br /> -Return receipt servic h v' 0� present you Cert'Ified Mail item at Post Total F Total Postage &Fees:
<br /> with a record of deliv h vW Sh@X1fA'A'dRY t��tmarking.If you don't need a '�
<br /> recipient's signature). u can reQue -Dogimark on this Certified Mail receipt,detach ru
<br /> hardcopy return receii� Ffjo 804f�farcoded portion of this Zabel,affix it to the Sent To
<br /> version.For a hardcop turn r 't a 'ce,apply appropriate postage,and Mr. Bill Tezak
<br /> ��
<br /> complete PS Form 381 the mailpiece. 'A Sfreeteifpt Ac � , Inc.
<br /> Receipt;attach PS For IMPOitrtlNTSaveMlis receipt for your record• N or PO Box No. Colorado Quarries
<br /> Ps Form 3800,July 2014(Reverse)PSN 7530-02-000.9047 City State,ZIPt -7 C 15th Street
<br /> 21 O S.
<br /> r..,r.n r-ity CO 81212
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