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UNITED STATES POSTAL SERVICE First-Class Mail <br /> Postage&Fees Paid <br /> Postal - _ LISPS <br /> 111111 Permit No.G-10 <br /> r` CERTIFIED MAIL@ RECEIPT <br /> r_ Domestic Mail <br /> .n Sander: Please print your name, address, and ZiP+40 in this box9 <br /> Ln <br /> cc <br /> ,i State of Colorado <br /> CO <br /> 'ostage: ,,,Gies Department of Natural Resources <br /> $0.675 Division of Reclamation,Mining&Safety <br /> � :ertified Fee: c� <br /> C3 O $3.300 <br /> o R,m eturn Receipt ' r $2 700 <br /> C3 (Endorsen 1313 Sherman Street,Room 215 <br /> �v <br /> Restricts M-1 978-20$ <br /> [3 (Endorsen Denver,CO 80203 30-day Grace letter <br /> ry Otal Postage d Fe MAC WHE AJW <br /> � e an es: $6.675 <br /> rtJ <br /> Total Postage&Fees w <br /> �-L <br /> r� <br /> C3 ;apr.-ivo.;----- Juliet A. Moores 4�;s:;c :s{;#i3;#;i' €€ t€�ii{I'i €)#fijli#�€ <br /> Nox No. Elk Creek Sand&Gravel, LLC <br /> ie,ZlP+4 P.O. Box 416 <br /> -------- <br /> Conifer,CO 80433 <br /> :�� <br /> Certified Mail se v i978 2O8 illovring benefits: <br /> ■C Certified <br /> ed Mail label E 3o-day Grace letter ce;include applicable postage to <br /> A` <br /> urn receipt service fee; <br /> ■A unique identifier ft MAC N/HE �the <br /> emailpiece"Return Receiptd <br /> ■Electronic verificatio, _, ,aacmpted bested,"or see a retail associate for <br /> delivery. assistance.For an electronic return receipt, <br /> ■A record of delivery(including the recipient's see a retail associate for assistance.To <br /> COMPLETE • • r signature)that is retained by the Postal receive a duplicate return receipt,present <br /> SENDER: COMPLETE THIS SECTIONServ,ceO for a specified period this USPS" postmarked Certified Mail <br /> receipt to the retail associate,who will <br /> ■ Complete items 1,2,and 3.Also complete P. e <br /> zure Important Reminders: provide a duplicate return receipt for no <br /> Agent ■You may purchase Certified Mail service with additional fee <br /> item 4 if Restricted Delivery is desired. First-Class Mad First-Class Package -Restricted delivery service,which provides <br /> ■ Print out name and address on the reverse Addressee Serwce�,or Priority Mail'service. <br /> y delivery to the addressee specified byname, <br /> ■Certified Mail service is not available for <br /> so that we can return the card to you. €ved by(Pn N me) C. � e=f '�epy or to the addressee's authorized agent. <br /> ■ Attach this Card to the back of the mailpiece, /Yl international mail. Include applicable postage to cover the <br /> 1420naer ■Insurance coverage is notavailable for restricted delivery fee and endorse the <br /> or on the front if space permits. purchase with Certified Mail service.However, mailpiece"Restricted Delivery,"or see a <br /> D. Is delivery address different from item 1? >ffs the purchase of Certified Mail service does not retail associate for assistance. <br /> 1. Article Addressed to: If YES,enter delivery address below: _ No change the insurance coverage automatically ■To ensure that your Certified Mail receipt is <br /> included with certain Priority Mail items. accepted as legal proof of mailing,it should <br /> - -- ■For an additional fee,you may request the bear a USPS postmark.If you would like a <br /> following services: postmark on this Certified Mail receipt,please <br /> Juliet A. Moores -Return receipt service,which provides you present your Certified Mail item at a Post <br /> Elk Creek Sand&Gravel,LLC with a record of dehvery including the Office for,Rostmarking. yo on'' need a <br /> P.O. Box 4�6 re '� #�D®1aCe � aTl at l QY ar!`41 ni9 GEQf e�T�6ach <br /> Conifer,CO 8043 her copy return recei t or electronic the-par <br /> P.O. porbod'ofjj�i I,affix it to the <br /> -�- — 3. Service Type version.For a1h�jl�o§r �f�4� 1 a rl a111}ie�[t��iopA tage,and <br /> complete PS p(n es;c e urn o <br /> e. <br /> � �P lT Certified Mail® �Priority Mail Express" attach PS Form 3�1,t®�nr er, re p receipttoryourrecords. <br /> ❑Registered ❑Return Receipt for Merchandise <br /> ❑Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2, Article Number 7 014 2120 0001 7885 2677 <br /> (Transfer from service label) <br /> PS Form 3811,July 2013 Domestic Return Receipt <br />