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SENDER: COMPLETE THIS SECTION <br />a 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. Scott Thorson <br />Pueblo Bank & Trust <br />1401 Main Street <br />Canon -City, CO 81212 <br />•COMPLETE THIS SECTION ON DELIVERY <br />A. Signature <br />B Received by (Printed ame) <br />0 Agent <br />0 Addressee <br />C. Date of Delivery <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: 0 No <br />3. Service Type <br />4cCertified Mail'' 0 Priority Mail Express" <br />ID Registered 0 Return Receipt for Merchandise <br />0 Insured Mail 0 Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) 0 Yes <br />2. Article Number <br />(Transfer from service label) <br />PS Form 3811, July 2013 <br />7014 2120 0001 8040 1726 <br />UNITED <br />Certified Mail service provides the following benefits: <br />• A Certified Mail receipt (this portion of the mailpiece, include applicable postage to <br />Certified Mai ceipt service fee: and <br />r er for yo <br />• A unique Iden ur mai piece. endorse the mailpiece "Return Receipt <br />• Electronic verification f delivery) atier�lp1�431 Requested," or see a retail associate for <br />delivery. File V//fit electronic return receipt, <br />• A record of delivery (inclu mg the recipient's see a retail associate for assistance. To <br />signature) that is retained by the Postal receive a duplicate return receipt, present <br />Service® for a specified period. / <br />Important Reminders: (,GI C' <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 notavailable for <br />international mail. <br />• Insurance coverage is not available for <br />purchase with Certified Mail service. However, <br />the purchase of Certified Mail service does not <br />change the insurance coverage automatically <br />included with certain Priority Mail items. <br />• For an additional fee, you may request the <br />following services: <br />- Returrt receipt service, which provides you <br />with a record of delivery (including the <br />this USPS' -postmarked Certified Mail <br />receipt to the retail associate, who will <br />providy a duplicate return receipt for no <br />additional fee. <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 />restricted delivery fee and endorse the <br />mailpiece "Restricted Delivery," or see a <br />retail associate for assistance. <br />• To ensure that your Certified Mall receipt is <br />accepted as legal proof of mailing, it should <br />bear a USPS postmark. If you would like a <br />postmark on this Certified Mail receipt, please <br />present your Certified Mail item at a Post <br />Office- for postmarking. If you don't need a <br />recipient's signature). You can request a postmark on this Certified Mail receipt, detach <br />hard e n e� ee�� t g8_an electrons the barcoded portion of i la. 't to the <br />versi �@1a� �laemaoeol, t Roomii24S, p • i . 1� d <br />complete PS Form 3811, Domestic Return deposit the mailpiece. <br />Receipt. attach PS Form 3811 to your IMPORTANT: Save this receipt for your records. <br />Ps Form 3800, July 2014 (Reverse) PSN 7530-02-000-9047 <br />.Ll <br />ru <br />a <br />rq <br />0 <br />C3 <br />O <br />N <br />rR <br />ru <br />r� <br />N <br />STATES OSTAL ERVICE <br />tAh Q' <br />First -Class Mail <br />Postage & Fees Paid <br />USPS <br />Permit No. G -1O <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 d L nupl <br />Spec c4 <br />File p-► I X177 t3► <br />ill rfltllllirlllllllilrI v.1101,rfililllilrrl�ll,r►illlrllllil, <br />U.S. Postal Servicer' <br />CERTIFIED MAIL° RECEIPT <br />Domestic Mail Only <br />For delivery information, visit our website at www•usps.com®. <br />Postage: <br />Certified Fee: <br />Return Receipt Fee: <br />Re <br />(Endo`: Total Postage &"es <br />elive rue <br />(Endorsement Required) <br />;x$0.485 <br />4'6\$3.45 <br />2.80 <br />Ill <br />f <br />ry <br />Restncted D , i r/c 6.735 <br />4 2106 <br />Total Postage & Fees <br />Sent To <br />Street & Apt. <br />or PO Box N <br />City, State, 2 <br />PS Form 38 <br />Mr. Scott Thorson <br />Pueblo Bank & Trust <br />1401 Main Street <br />Canon City, CO 81212 <br />e for Instructions <br />