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RECEIVED <br />AUG 1 21016 <br />DIVISION OF RECLAMATION <br />MINING AND SAFETY <br />Ln <br />n -i <br />C3 <br />ri <br />N <br />cc <br />r- <br />r-1 <br />C3 <br />(i <br />0 <br />0 <br />ru <br />ra <br />ru <br />ra <br />r- <br />Certified Mail service provides the following benefits: <br />■ A Certified Mail receipt (this portion of the <br />1e applicable postage to <br />Certified Mail label). <br />eceipt service fee; and <br />■ A uni--' ' <br />is Eleca <br />)iece "Return Receipt <br />retail associate for <br />deliv Cj-1981-Q <br />electronic return receipt, <br />is A rex a for assistance. To <br />si na :tum receipt, present <br />sign S�•- 1 Mail <br />c Notification <br />ServiImporta <br />9d Certified <br />inspect'on <br />;im re ,who will <br />irn receipt for no <br />■ You ma <br />ahh <br />First -CI bib <br />ebmcted delivery service, which provides <br />Service <br />delivery to the addressee specified by name, <br />■ Certifiec —u is not available for <br />or to the addressee's authorized agent <br />international mail. <br />Include applicable postage to cover the <br />■ Insurance coverage is not available for <br />restricted delivery fee and endorse the <br />purchase with Certified Mail service. However, <br />mailpiece "Restricted Delivery,' or see a <br />the purchase of Certified Mail service does not <br />retail associate for assistance. <br />change the insurance coverage automatically <br />■ To ensure that your Certified Mail receipt is <br />Included with certain Priority Mail items. <br />accepted as legal proof of mailing, it should <br />■ For an additional fee, you may request the <br />bear a USPS postmark. If you would like a <br />following services: <br />postmark on this Certified Mail receipt, please <br />- Return receipt service, which provides you <br />presentyour Certthde}d�Mail agtpa Post <br />withliite�rn <br />co gftl jAt&tjmati o ai{fit'8 i"i ePfii9e�1G1ai, rebeipt,detach <br />a <br />rechardcopy returrgr qip� BIY4W '� St,ffs'mailpiece. <br />version. For a h DppYy Mae",, <br />d ODf OM09el, affix it to the <br />jepiY�a"ppropnate postage, and <br />complete PS Form 3811, e <br />Receipt attach PS Form <br />6e <br />ave this receipt for your records. <br />PS Form 3800, July 2014 (Reverse) PSN 7530-02-0009047 <br />U.S. Postal Service'" <br />CERTIFIED MAIL° RECEIPT <br />Domestic Mail Only <br />For delivery information, visit our website at www.usps.com®. <br />Postage: ' <br />Certified Fee: <br />Return Receipt Fee <br />l ; -$0.465 ark <br />'4 $3.300 3 <br />$ -,700 <br />ToTVds>LejjrXAgP& Fees: $6.465 <br />Staats, Melvin and Lea Ann <br />P.O. Box 10 <br />'Nucla, CO 81424 <br />