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2015-03-16_GENERAL DOCUMENTS - M2004031 (2)
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2015-03-16_GENERAL DOCUMENTS - M2004031 (2)
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Last modified
8/24/2016 5:58:21 PM
Creation date
3/16/2016 9:06:13 AM
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DRMS Permit Index
Permit No
M2004031
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
3/16/2015
Doc Name
Certified Mail Receipt
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DRMS
Media Type
D
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ENDER: COMPLETE THIS SECTION <br />COMPLETE THIS SECTION ON DELIVERY <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 />A S iature <br />i <br />0 Agent <br />0 Addressee <br />B. Received by (Printed Name) C. Dat of Delivery <br />D. Is delivery address different from item 1? C7 Yes <br />If YES. enter delivery address below: 0 No <br />Connie Davis — — <br />Aggregate Industries--. WC-R,-tnt <br />1687 CQIeBIvcL, Stt 300 <br />Golden, CO 80401 <br />Service Type <br />14 C_rtifted Mail' <br />❑ Registered <br />0 Insured Mail <br />❑ Priority Mail Express - <br />0 Return Receipt for Merchandise <br />❑ Collect on Delivery <br />7014 0150 0000 9138 7574 <br />PS Form 3811, July 2013 <br />4. Restricted Delivery? (Extra Fee) 0 Yes <br />UNITED STATES (ERVIC <br />EMER <br />R <br />041 Otsli AR "16 <br />Certified Mail Provides: Spec. T° 0 0' <br />• A mailing receipt <br />)o014031 kin <br />• A unique identifier for your mailpiece File # <br />First -Class Mail <br />Postage & Fees Paid <br />USPS <br />Permit No. G-10 <br />• A record of delivery kept by the Postal Service for two years <br />Important Reminders: <br />• Certified Mat may ONLY be combined with First -Class Marl® or Priority Mails. <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 Marl. <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 />it 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 Marl <br />receipt is not needed, detach and affix label with postage and marl. <br />IMPORTANT: Save this receipt and present it when making an inquiry. <br />PS Forrn 3800, QQl� ust 200 ?e s(541465, <br />iWS-1. 1.5 ;71terroan n• Pr�Jiil - � V <br />N <br />u-) <br />ra <br />o" <br />D <br />a <br />D <br />D <br />u1 <br />r� <br />D <br />D <br />N <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 Spec 0£ <br />File 11120o y031 frivol <br />'!1lrrrrlrl'll!l111"rl!!!I!'!!!'11"111l111l111lrJl!!'lllrllrerr <br />U.S. Postal Service,. <br />CERTIFIED MAILTM RECEIPT <br />(Domestic Mail Only; No Insurance Coverage Provided) <br />For delivery information visit our website at www.usps.come <br />Postage; <br />Certified Fee: <br />(Endorse <br />Ret Return Receipt & Fee: <br />Restrict <br />(Endorse <br />Total Postage & Fees: <br />Total Postage & Fees I $ <br />Connie Davis <br />Aggregate Industries - WCR, Inc. <br />1687 Cole Blvd., Ste. 300 <br />---- nn Ail., <br />
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