2016-11-28_GENERAL DOCUMENTS - M1978208

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