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2015-03-16_GENERAL DOCUMENTS - M1994081 (2)
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2015-03-16_GENERAL DOCUMENTS - M1994081 (2)
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Last modified
8/24/2016 5:58:20 PM
Creation date
3/16/2016 9:06:37 AM
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Template:
DRMS Permit Index
Permit No
M1994081
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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No
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nJ <br />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 />R Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />Ronald L. Barrier <br />P.O. Box 3 <br />Alamosa, CO 81101 <br />COMPLETE THIS SECTION ON DELIVERY <br />A. Signature <br />(tl/ '4-'-- J w Agent <br />aOr Addressee <br />B. Received by (Pri te. Name) C. Da e D�livery <br />,LL.j. itrri r�r 9 l <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 <br />❑ Registered <br />❑ Priority Mall Express- <br />0 <br />xpress"❑ 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 />7010 1060 <br />0001 0936 1335 <br />PS Form 3811, July 2013 <br />Domestic Return Receipt <br />UNITED STATES't,.PD'StA SERVICE <br />co Q. <br />041 FEB 'tai <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 />M-1994-081 <br />30 -day grace letter <br />SJM GRM AJW <br />U.S. Postal Service rr, <br />CERTIFIED MAIL,, RECEIPT <br />(Domestic Mail Only; No Insurance Coverage Provided) <br />r� I <br />m <br />Er - <br />7010 1060 0001 <br />Re <br />(Endorst <br />Restnct <br />(Endorse <br />Total Pc. <br />Postage: <br />Certified Fee: <br />Return Receipt Fee' <br />G <br />Total Postage 8, F <br />riA, <br />Sent To <br />Street, Apt. No.; <br />or PO Box No. <br />City, State, ZIP+4 <br />Ronald L. Berner <br />P O. Box 3 <br />Alamosa, CO 81101 <br />PS Form 3800. August 2006 <br />See Reverse lot instructions <br />11'ii111111111111111111i1111#1111111111111111111111111111111111 <br />Certified Mail Provides: M-1994-081 MV -2016-114 <br />■ A mailing receipt = NOV Letter <br />• A unique identifier for your mailpiece" SJM GRM AJW <br />• A record of delivery kept by the Postal Service for two years <br />Important Reminders: <br />• Certified Mail may ONLY be combinda with First -Class Mailo or Priority Mails <br />or Certified Mail is not available for any class of intemational mail. <br />• NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For <br />valuables, please consider Insured or Registered Mad. <br />• For an additional fee, a Return Receipt may be requested to provide proof of <br />delivery. To obtain Retum Receipt service, please complete and attach a Retum <br />Receipt (PS Form 3811) to the article and add applicable postage to cover the <br />fee. Endorse mailpiece 'Retum Receipt Requested°. To receive a fee waiver for <br />a duplicate return receipt, a USPS5 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 />
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