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if.b. Postal Service-1 SENDER: COMPLETE THIS SECTION COMPLETE THISSECTION ON DELIVERY <br /> CERTWIED MAIL` RECEIPT <br /> Domestic il Only ■ Complete items 1,2,and 3.Also complete A. Si a ure <br /> r. item 4 if Restricted Delivery is desired. F� <br /> ❑Agent <br /> l3veryon, our ■ 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. J Y <br /> p D. Is delivery address different from item 1? ❑Yes <br /> :0 Postage: $0.465 1. Article Addressed to: If YES,enter delivery address below: ❑No <br /> a Certified Fee: $3.300 k <br /> E Return Receipt Fee: Patrick Sullivan <br /> ( <br /> $2,700 Rio Grande County <br /> F 168 N.Washington <br /> (E Monte Vista,CO 81144 <br /> v Total Postage & Fees: $6.465 3. Service Type <br /> -q Total Postage&Fees I �p <br /> V ❑Certified Mails ❑Priority Mail Express- <br /> To ❑ Registered ❑Return Receipt for Merchandise <br /> Patrick Sullivan __________________________ ❑ Insured Mail ❑Collect on Delivery <br /> O or PO Box No. El Grande County 4. Restricted Delivery?(Extra Fee) Yes <br /> ` or 168 N.Washington <br /> City,stare,ziP+a Monte Vista,co 81144 Article Number 7014 2120 0001 8040 0071 <br /> PS Form 3800,July 2014 See Reverse for Instructions (Transfer from service labeq <br /> Form 3811,July 2013 Domestic Return Receipt <br /> Postal <br /> CERTIFIED MAIL@ RECEIPT UNITED STATES POSTAL SERVICE First-Class Mail <br /> rlDomestic Mail Only Postage&Fees Paid <br /> r` LISPS <br /> O <br /> � - Permit No.G-10 <br /> L 'Jr ICIAL US <br /> 0 <br /> o . 1 • Sender: Please print your name, address, and ZIP+4° in this box* <br /> 1:0 Postage: $0.465 <br /> a Certified Fee: $3.300 - -- <br /> o (Fj Return Receipt Fee: $2.700 <br /> c3 F State of CO - Dept. of Natural Resources <br /> (e Division of Reclamation, Mining &Safety <br /> Total Postage & Fees: $6.465 MINERALS <br /> ra Total Postage&Fees 1313 Sherman Street, Room 215 <br /> 11J _ <br /> Sent To Denver, CO 80203 M-1987-020 <br /> zi- 34130000 <br /> ,-q Patrick Sullivan 30-day Grace Letter <br /> 0 or PO <br /> Rio Grande County <br /> � or PO Box No. THM GRIM AJW <br /> --- 168 N.Washington ------------------------- <br /> Cily Stare,z/P+4 Monte Vista,CO 81144 <br />