2016-09-01_GENERAL DOCUMENTS - M1977081

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COMPLETE THIS SECTION ON DELIVERY qDER: COMPLETE THIS SECTION CERTIFIED MAIL' RECEIPT I uDomestic Mail bnly omplete items 1,2,and 3.Also complete A. gna e tern 4 if Restricted Delivery is desired. X ❑Agent =27r , print your name and address on the reverse ❑Addressee „"■ i� ,t,r ' so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery r kttach this card to the back of the maiipiece, Postage: >r on the front if space permits. � ge� � D. Is delivery address different from item 1? ❑Yes Certified Fee: $0.675`')1 lrticle Addressed to: If YES,enter delivery address below: ❑No jI Return Receipt Fee: S I k oMs. Anastasia Frantsova Total Postage and Fees: $ v5�t City of Greeley 1100 1Oth Street, Suite 3001 a Totel Postage&Fees I$ ,`+��____...�"`" 3. Service Type nt To Greeley, CO 80631 ❑Certified Mail• ❑Priority Mail Express- r Ms. Anastasia Frantsova ❑Registered ❑Return Receipt for Merchandise -------------- weer& City of Greeley ❑ Insured Mail ❑Collect on Delivery ` or PO Box i -----clo------- 1100 10th Street, Suite 3OO 4. Restricted Delivery?(Extra Fee) ❑Yes Greeley, CO 80631 uticle Number 7014 2120 0001 8040 0521 Transfer from service label) PS Form 3811,July 2013 Domestic Return Receipt UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS Postal Service Permit No.G-10 oRECEIPT CERTIFIED MAIL a Domestic Mail OWY Sender: Please print your name, address, and ZIP+4®in this box* ti L_ MIZIMMMF MI o State of Colorado Department of Natural Resources ca Postage: $0.6751 Division of Reclamation,Mining&Safety `° Certified Fee: - ,a $3J�gk 1313 Sherman Street, Suite 215 o Return Receipt Fee: Denver,CO 80203 Spec Pa o l S 2:7 C' �` File�� o Total Postage and Fees: ` r-1 Total Postage&Fees l$ ru sent To Ms. Anastasia Frantsova .a - {,111{�1,1,l,U ,i1�,1,��I{I�11!'I'llllllll�,,,�l�ll�ll�'t�llll'f o or City of Greeley or PO Box I r` cry$fee; 1100 1 Oth Street, Suite 300 Greeley, CO 80631