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Postal Service,. <br />' TIFIED MAILTM RECEIPT <br />- stic Mall Only; No Insurance Coverage Provided) <br />SENDER: COMPETE THIS SECTION <br />• Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />• Print your name and address on the reverse <br />so that we can return the card to you. <br />■ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />BettyfHolley <br />H & F-( Stone <br />P.O. Box 246 <br />Dovetreell_QO 81324 <br />COMPLETE THIS SECTION ON DELIVERY <br />A. Signat <br />BMSed by (Prinied Name) <br />LOP <br />❑ Agent <br />0 Addressee <br />C. Date o Delivery i <br />D. Is delivery address different fr m item 1? 0 Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />❑ Certified Mail <br />❑ Registered <br />❑ Insured Mail <br />❑ Express Mail <br />❑ Return Receipt for Merchandise <br />❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) <br />0 Yes <br />2. Article Number <br />(Transfer from service label) <br />7011 3500 0002 9605 7611 <br />UNITED STATES POSTAL SERVICE <br />First -Class Mail <br />Postage & Fees Paid <br />USPS <br />Permit No. G-10 <br />• Sender: Please print your name, address, and ZIP+4 in this box • <br />State of CO - Dept. of Natural Resources <br />Division of Reclamation, Mining & Safety <br />MINERALS <br />1313 Sherman Street, Room 215 <br />Denver, CO 80203 <br />M-1998-080 MV -2016-005 <br />34130000 NOV Letter <br />LJW GRM AJW <br />M-1998-080 MV -2016-005 <br />Certified Mail Provides: NOV Letter <br />• A mailing receipt LJW GRM AJW <br />• A unique identifier for your mhill <br />• A record of delivery kept bythe P <br />Posta <br />Important Reminders: <br />■ Certified Mail may ONLY be combined with First -Class Mair or Priority Mair. <br />is 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 USPS postmark on your Certified Mad receipt is <br />required. <br />• For an additional fee, delivery may be restricted to the addressee or <br />addressee's authorized aaent Advise the clerk or mark the mailpiece with the <br />endorsement "Restricted Delivery" <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 <br />IMPORTANT. Save this receipt and present it when making an inquiry. <br />PS FC/1111 3G01) .'rrlu5t ,� ��u - P;IJ 5r,1 - <br />t Y �v:= - � : ' }:In 21:., Denver, CO 80205 <br />ru <br />D <br />D <br />D <br />D <br />D <br />u'1 <br />m <br />ra <br />D <br />Ret <br />(Endorse <br />Restrict <br />(Endorse <br />iiIiiiirnuiii'iiiirliiiiti <br />(very information visit our website at www.usps.come <br />Postana $ _ <br />Postage: <br />Certified Fee: <br />Return Receipt Fee: <br />Total F Total Postwage & Fees: <br />Sent To <br />$0.4$5 <br />$3.45 <br />$2.80 <br />$6.73,5 <br />Street, Apt. No.; <br />or PO Box No. <br />City, State, ZIP+4 <br />Betty Holley <br />H & H Stone <br />P.O. Box 246 <br />Dove Creek, CO 81324 <br />PS Form 3800, August 2006 See Reverse for instructions <br />