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CERTIFIED-n::3 Domestic Mail • RECEIPT tffkj&�qij nly CbmPLETE THIS SECTION ON DELIVERY <br /> ,,. <br /> ■ Complete items 1,2,and 3.Also c A. Signature <br /> r item 4 if Restricted Delivery is desira�. X / - ❑Agent <br /> • ; �, ■ Print your name and address on the reverse Addressee <br /> r1 �' it`• ; "� so that we can return the card to you. <br /> ■ Attach this card to the back of the mailpiece, Receiv by(Print Name) C. Date of D ivery <br /> Postage $ or on the front if space permits. <br /> Postage: $0.465 1. Article Addressed to: D. Is delivery address different from item 1? In Yes <br /> Certified Fee: $3.300 mark If YES,enter delivery address below: RNo <br /> Return Receipt Fee: $2.700e —�-- —_4 <br /> Jerry Ritchey <br /> a Total Postage & Fees: $6.465 Ritchey's Redi-Mix Concrete, Inc, <br /> u t o 509 S Idlewild St 3. Service Type <br /> Jerry Ritchey <br /> r Yuma, CO 80759 ❑Certified Mail® ❑Priority Mail Express'' <br /> Ritchey's Redi-Mix Concrete, Inc. <br /> M-2007-001 ❑Registered ❑ Return Receipt for Merchandise <br /> �� 509 S Idlewild St <br /> orpO Box No. ❑ Insured Mail ❑Collect on Delivery <br /> Clfy 9&k 2f4 Yuma, CO 80759 - 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> • M-2007-001 2. Article Number <br /> (Transfer from service label) _ 7 14 212 0 oval 7885 4503 <br /> PS Form 3811,July 2013 Domestic Return Receipt <br /> UNITED STATES POSTAL SERVICE First-Class Mail <br /> . • Postage&Fees Paid <br /> LISPS <br /> m CERTIFIED o RECEIPT Permit No.G-10 <br /> o Domestic Mail Only <br /> � W. <br /> • Sender: Please print your name, address, and ZIP+4®in this box• <br /> Ln OFFICIAL �_ <br /> go <br /> Co Postage I$ <br /> r- Postage: $0.465 STATE OF COLORADO <br /> o Certified Fee: $3.300 mark DEPARTMENT OF NATURAL RESOURCES <br /> n Return Receipt Fee: DIVISION OF RECLAMATION, MINING &SAFETY <br /> $2.700 "8 1313 SHERMAN STREET, SUITE 215 <br /> o DENVER, CO 80203-2273 Spec. <br /> ru Total Postage & Fees: $6.465 File# <br /> ru - r <br /> �. •ntTO Jerry Ritchey <br /> ,a Ritchey's Redi-Mix Concrete, Inc. <br /> C3 srreei&^piwo, 509 S Idlewild St <br /> r%- or PO Box No. <br /> c�nssiate:z�R;: Yuma, CO 80759 <br /> M-2007-001 <br />