2015-03-16_GENERAL DOCUMENTS - M1997027 ‎(2)‎

• Permit No: M1997027
• IBM Index Class Name: GENERAL DOCUMENTS
• Doc Date: 3/16/2015
• Doc Name: Certified Mail Receipt
• From: DRMS
• To: DRMS
• Media Type: D
• Archive: No

SENDER: COMPLETE THIS SECTION
• Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
• Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1 Article Addressed to:
Mr. R, Chauncey Luttrell
Gray Rock Aggregate Company,
P 0 Box 342
Montrose, CO 81402
COMPLETE THIS SECTION ON. DELIVERY
A. ignat
ur=
0 Agent
0 Addressee
ewe
by (Priv
am
D. Is delivery address differ-. from item 1? 0 Yes
If YES, enter delivery address below: /CI No
C. Date of De
11V
LLC
3. Service Type
Certified Mad- 0 Priority Mail Express'
0 Registered 0 Return Receipt for Merchandise
0 Insured Mail 0 Collect on Delivery
4. Restricted Delivery? (Extra Fee)
2 AracleNuom 7014 2120 0001 8040 1733
(Transfer from service label)
UNITED STATESrOs rAL SLIIVIG
p 11
0:13- .114 A i;: 1:1c4 si 3.,
0 Yes
Ptt§ C is _ ail"
.Ro�t�ge'Fuld
• 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 .- �.4u
Certified Mail service provides the following benefits:
• A Certified Mad receipt (this portion of the - f"...,.
Certified Mad I .a Jude applicable postage to
• A unique ident�e �J end
service fee; and
•_d allpiece "Return Receipt
• Electronic verification of delivery ratterfle ),7R a retail associate for
delivery. � 4�4} J vl v! ,t7 / assi ectromc return receipt,
• A record of deliYei nClu ' ipien s see a retail associate for assistance. To
signature) that is retained by the Postal receive a duplicate return receipt, present
Service® for a specified period. this USPS® -postmarked Certified Mail
receipt to the retail associate, who will
provids a duplicate return receipt for no
additional fee.
- Restricted delivery service, which provides
delivery to the addressee specified by name,
or to the addressee's authorized agent.
• Insurance coverage isnot available for Include applicable postage to cover the
restricted delivery fee and endorse the
purchase with Certified Mail service. However, mailpiece "Restricted Delivery," or see a
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
• 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
- 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 Mall receipt, detach
hardcopy return receipt or an electronic the barcoded portion of this label, affix it to the
cen�IWcay eturn receipt, mailpiece, apply appropriate postage, and
Receipt attach PS For 811 to your(ft RP IM t,h� r& C4
IMPORTANT: Save this acelp fo you orris.
PS Form 3800, July 2014 (Iieversel PSN 7530-02-000-9047
Important Reminders:
• You may purchase Certified Mail service with'
First -Class Maii®, First -Class Package
Service®, or Priority Mail® service
• Certified Mail service is nofavadable for
international mad.
Spec 60,1
File 1i199792 7
lltlliir�il�lilr:illl'1�rit
ervice°M
MAIL° RECEIPT
my
Postage:
Certified Fee:
Return Receipt Fee:
STA
Return Recew. • Total Post
(Endorsement Required)
Restricted Delivery.Fee
(Endorsement Required)
Total Postage & Fees
4
age 4 Fees:
16
$0.485
$3.45
$2.80
sof $6.735
Sent To
Mr. R, tChauncey Late Company, LLC
ell
°% Gray Rock Aggregate
p O Box 342
i2 Montrose, CO 81402
e Reverse for Instructions