2016-11-22_GENERAL DOCUMENTS - M1981201

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UNITED STATES POSTAI SERVICE First-Class Mail Postage&Fees Paid ' • USPS Permit No.G-10 CERTIFIED MAIL@ RECEIPT C3 tic Maft Only - -- Domes Sender: Tease print your name, address, and ZIP+41 in this box° For deliv Ln =P70stage: to Certified State of Colorado Fee: '- -i $0.465 Department of Natural Resources o Return Return Receipt Fee: k $3.300 Division of Reclamation, Mining&Safety Q (Endorseme $2.7op 1313 Sherman Street Suite 215 Q ?'nt�l o e Restricted Delivery Fee ci a Qo IZ 7 Q (Endorsement Required) FF'F'�' Denver, CO 80203 %ti Spec c��y nti File mlit<s10 i r-� Total Postage&Fees rTJ Sent ro S Q Apt A lr f F1 I lil ! Ir r r r iritrnil Slreet8------ Robin G. Theobald -------------- i'lllii;�ii'iii'iial, i� �i f)I Ii Ill I i l l i1 M1 or Pp Box No. CItY State,ZlF P O Box 37 Breckenridge, CO 80424 Certified Dail service provides the following benefits: •A Certified Mail receipt p(cion ofCiS mailpiece;include applicable postage to Certified Mail label). --�—r —dt 9 the return receipt service fee;and 97•A unique identifier for yffieilpieW�6 Z/ endorse the mailpiece"Return Receipt •Electronic verification of delivery or a e plea - fed,"or see a retail associate for delivery. r� ( U assistance.For an electronic return receipt, •A record Ali ery including the recipient's see a retail associate for assistance.To signature)that is retained by the Postal receive a duplicate return receipt,present Service3 for a specified period. this USPSO-postmarked Certified Mail SENDER: • • • ' Important Reminders: provireceide a duplicate return the retail associate, receipt fo who ur No ■You may purchase Certified Mail service with additional fee.' ■ Complete items 1,2,and 3.Also complete ature First-Class Mail',First-Cass Package -Restricted delivery service,which provides - item 4 if Restricted Delivery is desired. s -__— a Agent Service ,or Priority Mail service. delivery to the addressee specified by name, ❑Addressee ■Certified Mail service is notavailable for or to the addressee's authorized agent. ■ Print your name and address on the reverse international mail. Include applicable postage to cover the so that we can return the card to you. B. y C. Date of Delivery •Insurance coverage is notavailable for restricted delivery fee and endorse the ■ Attach this card to the back of the mailpiece, purchase with Certified Mali service.However, mailpiece"Restricted Delivery,'or see a the purchase of Certified Mail service does not retail associate for assistance. or on the front if space permits. ❑Yes change the insurance coverage automatically ■To ensure that your Certified Mail receipt is D. Is d ad s differe t�lp included with certain Priority Mail items. accepted as legal proof of mailing,it should 1. Article Addressed to: If S,en r delivery address low ❑No ■For an additional fee,you may request the bear a USPS postmark.If you would like a following services: postmark on this Certified Mail receipt,please NOV 2 -Return receipt service,which provides you present your Certified Mail item at a Post 2016 with a record of delivery(including the Office—for postmarking.If you don't need a recipient's signature Y ��rr��rre uu�� aa,, postmark on this Certified Mail receipt,detach hardcopy return recU�lltlrZle�it��s7 She MianStportion of this label,affix it to the _.Robin G. Theoba Id version.For a hardc ^ rP r cent,, q� ilpiece,apply appropriate postage,and complete PS Form 361 bd!>f2�ticlRlr>�o2lde osit the mailpiece. Receipt,-attach PS Form 3811 to your P O BOAC 37 3. S�eT IMPORTANT.Save this receipt for your records. Bre nridge, CO 80424 � airlorityMpressPS Form$$fly,July 2014(Reverse)PSN 7530-02-000-9047 S $Bt6r eceipt for Merchandise ❑ Insured Mai( ' C�Collect on Delivery 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number 7p14 2120 �0�1 7885 64�8 (transfer from service label) PS Form 3811,July 2013 Domestic Return Receipt