|
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 />COMPLETE THIS SECTION ON DELIVERY
<br />Irurea
<br />I'
<br />1. Article Addressed to:
<br />Mr. Joe Smith
<br />High Country Bank
<br />7360 W. Hwy 50
<br />Salida, CO 81201
<br />ived by (' intrd Name)
<br />e / , ! P
<br />0 Agent
<br />o Addressee
<br />C. Date of Delivery
<br />D. Is delivery address different from item 1? 0 Yes
<br />If YES, enter delivery address below: 0 No
<br />3. Service Type
<br />0 Certified Mail
<br />o Registered
<br />❑ Insured Mail
<br />❑ Priority Mail Express'
<br />❑ Return Receipt for Merchandise .
<br />❑ 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 1752
<br />PS Form 3811, July 2013
<br />Certified Mail service provides the following benefits:
<br />• A Certified Mail receipt i tNrtion of the mailpiece, includ&, applicable postage to
<br />Certified Mail label) cover the return receipt service fee, and
<br />• A unique lden&tj our7iaQ e. endorse the mailpiece "Return Receipt
<br />• Electronic verific5tion of delivery or attempted rrequestea, or see a retail associate for
<br />delivery.assistance. For an electronic return receipt,
<br />• A record derivie(#144lu t e i is see a retail associate for assistance. To
<br />signature) that is retaine. •y a os a return receipt, present
<br />Service® for a specified period. this USPS® -postmarked Certified Mad
<br />receipt to the retail associate, who will
<br />provide a duplicate return receipt for no
<br />addmonaliee.
<br />- Restricted delivery service, which provides
<br />delivery to the addressee specified by name,
<br />or to the addressee's authorized agent
<br />Include applicable postage to cover the
<br />restncted delivery fee and endorse the
<br />purchase with Certified Mail 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 Mail receipt is
<br />included with certain Priority Mail items. accepted as legal proof of mailing, rt 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 service, w ' rpv' a yptt present our C fled Mail item at a Post
<br />with a record of delivery 1pBip f 313 $pff19• R king. If you don't need a
<br />recipient's signature) Yotaan request a ,f�as(�aik on this Certified Mad receipt, detach
<br />hardcopy return receipt lie • CO 8tNLWoded portion of this label, affix it to the
<br />version. For a hardcopy r rn real apply appropriate postage, and
<br />Receipcomplett;
<br />tPo Form For 1,�e � ��e mailpiece.
<br />Receipt,• attach PS Form
<br />PS Form 3800, July 2014 (Reverse) PSN 7530.02-000-9047
<br />UNITED STATES L'�SiRVICE
<br />2.5 JAN '' l
<br />Important Reminders:
<br />• You may purchase Certified Mall service with
<br />First -Class Mail®, First -Class Package
<br />Service®, or Priority Mail® service
<br />• Certified Mail service is not available for
<br />international mail.
<br />• Insurance coverage is notavailable for
<br />Save this receipt for your records.
<br />ru
<br />to
<br />N
<br />r-1
<br />rR
<br />r-
<br />ri
<br />EJ
<br />D
<br />D
<br />D
<br />ru
<br />r -q
<br />ru
<br />ra
<br />First -Class Mail
<br />Postage & Fees Paid
<br />USPS
<br />Permit No. G-10
<br />• Sender: Please print your name, address, and ZIP+4® in this box*
<br />State of Colorado
<br />Department of Natural Resources
<br />Division of Reclamation, Mining &
<br />1313 Sherman Street, Suite 215
<br />Denver, CO 80203 Fujoe
<br />Safety
<br />Spec `ra -
<br />File ,4114.77/k'
<br />tlllrlrilt1,lili1lt�l,lrrl►Itlr1111r(l►11ir1111111lltl,iJill)111l
<br />U.S. Postal Servicer'
<br />CERTIFIED MAIL° RECEIPT
<br />Domestic Mail Only
<br />For delivery information, visit our website at www.usps.comm.
<br />Pos.age
<br />Certified Fee
<br />Return Receipt Fee
<br />(Endorsement Required)
<br />Restricted Delivery Fee
<br />(Endorsement Required)
<br />Total Postage & Fees
<br />Sent To
<br />Street & Apt. No.,
<br />or PO Box No.
<br />Gay, State, ZIP+4
<br />$ _R 9
<br />Mr. Joe Smith
<br />High Country Bank
<br />7360 W. Hwy 50
<br />Salida,
<br />Postmark
<br />i Here
<br />PS Form 3800, Jul
<br />rco for Instructions
<br />
|