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2015-03-16_GENERAL DOCUMENTS - M1987116 (4)
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2015-03-16_GENERAL DOCUMENTS - M1987116 (4)
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Last modified
8/24/2016 5:58:20 PM
Creation date
3/16/2016 9:06:28 AM
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DRMS Permit Index
Permit No
M1987116
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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■ Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />N 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. BiII Tezak <br />Nicole Krauth <br />Colorado Quarries, Inc. <br />270 S. 15th Street <br />Canon City, CO 81212 <br />COMPLETE THI$ SECTION ON DELIVERY. <br />A. Signature <br />X J c 'J. CI. <br />^. 0 Agent <br />(\c1 ❑ Addressee <br />B. Received by (Printed Name) 1 C. Date of Delivery , <br />I <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 />®`Certified Mail' 0 Priority Mail Express" <br />0 Registered 0 Return Receipt for Merchandise <br />0 Insured Mail 0 Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) <br />0 Yes <br />2. Article Number <br />(Transfer from service label) <br />7014 2120 0001 7871 1837 <br />PS Form 3811, July 2013 <br />S''0: <br />`� tSSTAL E �, <br />UNITED STATE `f.. RVICE <br />; t + .blit'! <br />pito, I <br />Certified Mail service rovides the following benefits: <br />• A Certified Mail receip cite(A/JG r e)�I ppwfclude appucable postage to <br />Certified Mail label . cover the return receipt service fee, and <br />• A unique identifieL.ii : a,mail l e.0 Q endorse the mailpiece "Return Receipt <br />• Electronic verification of delivery or attempted Hequeste8 Or see a retail associate for <br />delivery. �1 � <br />• A record of dellveIF 1#n. th'.le <br />signature) that is retained by t <br />Service' for a specified period. <br />Important Reminders: <br />• You may purchase Certified Mail service with <br />First -Class Mad°, First -Class Package <br />Service®, or Priority Mail° service. <br />• Certified Mall service is not available for <br />international mail <br />• Insurance coverage is notavadabie for <br />purchase with Certified Mall service. However, mailpiece "Restricted Delivery," Or see a <br />the purchase of Certified Mall 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 Mali 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 servicuu is .r v e present your�Certified Mail item at a Post <br />with a record of deli l ..i I 5 snemtano#istmarkmg If you don't need a <br />recipient's signature} Yo�u �can requaa���(33 postmark on this Certified Mall receipt, detach <br />hardcopy return reclill@itlllQ GrI9 802(H° barcoded portion of this label, affix it to the <br />version For a hardco�r�(u�1 pj� iece, apply appropriate postage, and <br />complete PS Form 38?� f teu n2 d It the mailpiece. <br />Receipt,' attach PS Fo 333�����111111 0 �iXX'' IMPORTANT: Save this receipt for your records. <br />PS Form 3800, July 2014 (Reverse) PSN 7530-02-000-9047 <br />assistance. For an electronic return receipt, <br />�� to a retail associate for assistance. To <br />urn receipt, present <br />this USPS° -postmarked Certified Mail <br />receipt to the retail associate, who wit <br />provide 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 />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 & Safety <br />1313 Sherman Street, Suite 215 <br />Denver, CO 80203 Ace-fel/Ad Spec r L' <br />pwco File n'l Ile/ rib <br />{11"'I{1'{ll{IIUI{►{III{'{Ilii"llil{'il{{1{I{1'{'11111.{{i{{I' <br />U.S. Postal Service' <br />CERTIFIED MAIL° RECEIPT <br />Domestic Mail Only <br />For delivery information, visit our website at www.usps.comm. <br />(End( <br />Rest <br />(Endo <br />Tota <br />'G0s <br />4,7„,r,....<i <br />Postage 1 �a -n <br />Postage:o. 01-1Certified Fee: <br />Return Receipt F <br />Sent To <br />Street & Apt. uo., Nicole Krauth <br />orPOBoxNo. Colorado Quarries, Inc. <br />270 S. 15th Street <br />0 NM, - <br />Total <br />M, - <br />Total Postage & Fees: <br />Mr. Bill Tezak <br />25 <br />.45 <br />2.80 <br />$7.175 <br />City, State, ZIP+4 <br />
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