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2015-03-16_GENERAL DOCUMENTS - P2009001 (2)
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2015-03-16_GENERAL DOCUMENTS - P2009001 (2)
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Last modified
8/24/2016 5:58:23 PM
Creation date
3/16/2016 9:06:03 AM
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Template:
DRMS Permit Index
Permit No
P2009001
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
3/16/2015
Doc Name
Certified Mail Receipt
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Media Type
D
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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 />le Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to' <br />Mr. Mark E. Levin <br />Outlook Resources, Inc. <br />P.O. Box 1511 <br />Idaho Springs, CO 80453 <br />CQMPLETT; THIS SECTION ON DELIVERY <br />A. Si <br />tuce <br />❑ Agent <br />❑ Addressee <br />B. eceived by (Printed N me)) C. Date of Deanery <br />D. is delivery address dherent 1iOtn item? 1? 0 Y: s <br />If YES, enter deliveryASidress beloWi 0 No <br />92016). <br />3 Service Type <br />❑ Certified Mail: 0 Priority Mail Express <br />0 Registered 0 Return Receipt for Merchandise <br />❑ Insured Mail 0 Collect on Delivery <br />4 Restricted Delivery? (Extra Fee) 0 Yes <br />2. Article Number <br />(Transfer from service label) <br />7014 <br />0150 0000 9138 3941 <br />PS Form 3811, July 2013 <br />Certified Mail Provides: <br />• A mailing receipt <br />• A unique identifier for your mailpiece <br />• A record of delivery kept by the Postal Service for two years <br />Important Reminders: <br />• Certified Mail may ONLY be combined with First -Class Mail® or Priority Mail®. <br />• 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 Mail receipt is <br />required. <br />• For an additional fee, delivery may be restricted to the addressee or <br />addressee's authorized agent. 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 Form 30,0_ uausi fp915 (Reverse) PSN 7530-02-000-9047 <br />L ♦ O l it <br />P-2009-001 <br />30 -day grace letter <br />LJW GRM AJW <br />UNITED STATES PbStAti'SEikVICE <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 />34130000 <br />P-2009-001 <br />30 -day grace letter <br />LJW GRM AJW <br />111111111111lultllr1111,I, Oil ,llllr111111lr,►11111111IIII J1111ltl <br />U.S. Postal Service,. <br />CERTIFIED MAILTM RECEIPT <br />(Do r estic Mail Only; No Insurance Coverage Provided) <br />Postage: <br />Certified Fee: <br />Return Receipt Fed; likTIo� v $2 80 <br />&fF' <br />Total Postage <br />Return Heceiptr o0 <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 />City, State, ZIP+4 <br />$0.705 <br />6.955 <br />Mr. Mark E. Levin <br />Outlook Resources, Inc <br />P.O. Box 1511 <br />Idaho Springs, CO 80453 <br />PS Form 3800, August 2006 <br />See Reverse for Instructions <br />
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