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�' COLORADO <br /> Division of Reclamation, <br /> Mining and Safety <br /> Department of Natural Resources <br /> 1313 Sherman Street,Room 215 <br /> Denver,CO 80203-2243 <br /> 341300000 <br /> Jerry Ritchey <br /> Ritchey's Redi-Mix Concrete, Inc. <br /> 509 S Idlewild St <br /> Yuma, CO 80759 <br /> SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. ❑Agent <br /> ■ Print your name and address on the reverse X ❑Addressee <br /> so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front if space permits. <br /> D. Is delivery address different from item 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑No <br /> Jerry Ritchey <br /> Ritchey's Redi-Mix Concrete, Inc. <br /> 509 S Idlewild St 3. Service Type <br /> Yuma, CO 80759 ❑Certified Mail° ❑ Priority Mail Express'" <br /> M-2007-001 ❑ Registered ❑Return Receipt for Merchandise <br /> ❑ Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7014 2120 0001 7885 4503 <br /> (transfer from service label) --------- ----- <br /> PS Form 3811,July 2013 Domestic Return Receipt <br /> Postal <br /> CERTIFIED MAILO RECEIPT <br /> C3 ma Domestic Mafl Only <br /> -- <br /> Ln "n <br /> For delivery information,visit our website at www.uslos.coW. <br /> co <br /> ca ro Postage $ <br /> rq r--1 Certified Fee <br /> fZ3 E3 Return Receipt Fee Postmark <br /> 1:3 O (Endorsement Required) Here <br /> O E3 <br /> o Restricted DeiNery Fee <br /> c3 L-3 (Endorsement Requlred) <br /> ru ru <br /> ti �J Total Postage 6 Fees <br /> r e Jerry Ritchey <br /> '- Ritchey's Redi-Mix Concrete, Inc. <br /> � a <br /> C3 C3 sveeiaitE-llo. 509 S Idlewild St --------- <br /> or PO Box No. Yuma, CO 80759 <br /> ctAs sere,zfa� -------- <br /> M-2007-001 <br />