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SENDER: COMPLETE. 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 />Mr. Bill Tezak
<br />Colorado Quarries, Inc.
<br />270 S. 15th Street
<br />Canon City, CO 81212
<br />COMPLETE THIS SECTION ON DELIVERY •
<br />A Signature
<br />X
<br />0 Agent
<br />In -1 0 Addressee
<br />B. Received by (Printed Name) C. Qate of Delivery
<br />-a6 710
<br />D. Is delivery address different from item 1? ❑ Yes
<br />If YES, enter delivery address below: 0 No
<br />3. Service Type
<br />gr Certified Mair
<br />❑ Registered
<br />❑ Insured Mail
<br />0 Priority Mail Express-
<br />0
<br />xpress"❑ Return Receipt for Merchandise
<br />0 Collect on Delivery
<br />4 Restricted Delivery? (Extra Fee) 0 Yes
<br />2 Article Number
<br />(Transfer from service label)
<br />7014 2120 0001 7871 1875
<br />PS Form 3811, July 2013
<br />1-c: r rl ir'' f'?y
<br />UNITED STATESItko. ERVICE
<br />,ri 116
<br />1411
<br />First -Class Mail
<br />Postage & Fees Paid
<br />USPS
<br />Permit No. G-10
<br />Certified Mail service provides the following benefits:
<br />• A Certified Mail receipt (thi.pportiop of the A riailpiece; include applicable postage to
<br />Certified Mail label). i , v cover the return recFTt service feu, and
<br />• A unique identifie mailpler� endorse the mailpiece "Return Receipt
<br />• Electronic venhcaho o ehneuesteo, or see a retail associate ora em
<br />pted q
<br />delivery. qg�Sgistance. For an electronic return receipt,
<br />WWII ��((/Vase/ a retail associate for assistance To
<br />• sA rnatur) thaof t
<br />r�i g Alec s r..e,,.✓ce J�phcat� ,turn receipt, present
<br />Si rvice®ef that is retainedcbid. costal this USPS® -postmarked Certified Mail
<br />reService for a specified period.
<br />Important providtto adu retail ateassociate, who will
<br />n
<br />P provide a duplicate return receipt for no
<br />• You may purchase Certified Mail service with adnitlonal fee
<br />First -Class Mail®, First -Class Package - Restricted delivery service, which provides
<br />Service®, or Priority Mail® service. delivery to the addressee specified by name,
<br />• Certified Mail service is not available for or to the addressee's authorized agent.
<br />international mail.
<br />Include applicable postage to cover the
<br />• Insurance coverage is notavailable for restricted delivery fee and endorse the
<br />purchase with Certified Mall service However, mailpiece "Restricted Delivery," or see a
<br />the purchase of Certified Mail service does not retail associate for assistance.
<br />change the insurance coverage automatically • To ensure that your Certified Mat receipt is
<br />included with certain Priority Mail items. accepted as legal proof of mailing, it should
<br />• For an additional fee, you may request the bear a USPS postmark If you would like a
<br />following services: postmark on this Certified Mail receipt, please
<br />- Return receipt sere i`�y,�h Jh1 p present r Certified Mail item at a Post
<br />with a record of deIbu " 160s''ShermrM n ff`{postmarking If you don't need a
<br />recipient's signaturkYou can req 802„ppstmark on this Certified Mail receipt, detach
<br />hardcopy return rei�l�q'Nedl� ogee barcoded portion of this label, affix it to the
<br />version. For a liarc�epyy r t e���ccc pt, ilpiece, apply appropriate postage, and
<br />complete PS Form Q et t 1 posit the mailpiece.
<br />Receipt, attach P r 1 r IMPORTANT: Save this receipt for your records.
<br />PS Form 3800, July 2014 (Reverse) PSN 7530-02-000-9047
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<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 Itiic ;um egt Spec MO
<br />File m /'►dila 7
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<br />PTM
<br />ostal Service
<br />CERTIFIED MAIL® RECEIPT
<br />Domestic Mail Only
<br />For delivery information, visit our website at www.usps.coms.
<br />Re
<br />(Endors
<br />Restri
<br />(Endor
<br />Postage:
<br />Certified Fee:
<br />Return Receipt 46.:
<br />`t 7925
<br />78.45
<br />,2.80
<br />Total Postage & Fees:.' Mo
<br />Total Postage & Fees
<br />Mr. Bill Tezak
<br />Sent To
<br />Street & Apt N
<br />or PO Box No.
<br />City, State. ZIP
<br />$7.175
<br />Colorado Quarries, Inc.
<br />270 S. 15th Street
<br />Canon City, CO 81212
<br />PS Form 3800, July 2014
<br />• - for Instructions
<br />
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