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SENDER: 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 />A. Signature <br />1. Article Addressed to: <br />Mr. Bill Tezak <br />Colorado Quarries, Inc. <br />270 S. 15th Street <br />Canon City, CO 81212 <br />D Agent <br />.Ir19N 0 Addressee <br />B. Received by (Panted Narne) 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. S9 -vice Type <br />in Certified Mail" <br />0 Registered <br />0 Insured Mail <br />0 Priority Mail Express- <br />❑ Return Receipt for Merchandise <br />0 Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) <br />0 Yes <br />2. Article Number <br />(Transfer from service !abe° <br />7014 2120 0001 7871 1851 <br />PS Form 3811, July 2013 <br />1.) ',N1''d'fi: R <br />UNITED STATES PASTA SERVICE <br />. � xir it <br />PI' 11 :2 1_ <br />Domestic Return Receipt <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 hitt PIA/bvil Spec Cu <br />FileK40 M 11 ha <br />Certified Mail service provides t e following benefits: <br />• A Certified Mail receip is ortitt mailpiece; include applicable postagetc <br />Certified Mail label) �/ ✓" ' cover the return receipt service fee, and <br />• A unique identifS ur mafr endorse the mailpiece "Return Receipt <br />• Electronic venfica otf n et dO ivery�rremptea Reyuestecr,Tr see a retail associate for <br />delivery.ssistance. For an electronic return receipt, <br />ice4erai ri 1(/ ee a retail associate for assistance To <br />turn receipt, present <br />this USPS® -postmarked Certified Mail <br />receipt to the retail associate, who will <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 />• Insurance coverage is not available for restricted delivery fee and endorse the <br />purchase with Certified Mail service. However, mailpiece "Restricted Delivery," or see a <br />the purchase of Certified Mail 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 Mail 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 servich v' o� present you Certified Mail item at a Post <br />with a record of deliv r�l 5 SIlwe'nn ilettmarking. If you don't need a <br />recipient's signature).ku can reeQve4y .,,.,y,p�pS� npark on this Certified Mail receipt, detach <br />hardcopy return receiAYe6liltiolrid./ 80dhZ3arcoded portion of this label, affix it to the <br />version. For a hardtop turn nc t a ce, apply appropriate postage, and <br />complete PS Form 381 y 7r 2 the mailpiece. <br />Receipt. attach PS For IMPORTANT: Save this receipt for your records. <br />PS Form 3800, July 2014 (Reverse) PSN 7530-02-000-9047 <br />• A record of deli ec#din <br />signature) that is re amed <br />Service® for a specified period. <br />Important Reminders: <br />• You may purchase Certified Mail service with <br />First -Class Mail', First -Class Package <br />Service®, or Priority Mad® service. <br />• Certified Mad service is notavailable for <br />international mail. <br />t'fililrtli'1f li�rirr11r1'��'111111'►1ii'1i11,111�i�►'itllii,ii,i <br />rR <br />L.t-1 <br />✓ R <br />ra <br />N <br />N <br />D <br />D <br />ru <br />ri <br />ru <br />ra <br />N <br />U.S. Postal Service"' <br />CERTIFIED MAIL° RECEIPT <br />Domestic Mail Only <br />For delivery information, visit our website at www.usps.como. <br />Re <br />(Endors <br />Restric <br />(Endorse <br />Total F <br />PnMonn @ 4/ <br />Postage: <br />is <br />Certified Fee: <br />Return Receipt Fee: <br />Total Postage & Fees: <br />925 <br />.45 <br />(.,'"52.80 <br />$7.175 <br />Sent To <br />Street 8 Apt. Plc <br />or PO Box No. <br />City, State, ZIP+ <br />Mr. Bill Tezak <br />Colorado Quarries, Inc. <br />270 S. 15th Street <br />rltV CO 81212 <br />