2016-11-16_GENERAL DOCUMENTS - M2012016

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UNITED STATES�POSTAL,SERVICE First-Class Mail Postal Postage&Fees Paid :s, _: USPS . IL PRECEIPT Permit No.G-10 Domestic Mail Only l ti • Sender: Please print your name, address, and ZIP+40 in this box® Ln to State of Colorado ro r Department of Natural Resources postage: 0 1 '�p16 $0.675 Division of Reclamation,Mining&Safety �ertified Fee: , $3.300 Return Receipt Fed'! $ arke, ! o n ,' -. � � 2.700 j o ' `'>,©r,Ql.tl,, . 1313 Sherman Street,Room 215 Denver,CO 80203 M-201 2-015 eo (Fotal Postage and Fees: $6.675 30-day Grace letter ACY GRM AJW r3 Total Postage&Fees nJ — Fsenvro -- Ray Anderson Oo., " " Puckett Land Company p. St.,Suite250 . ii'; 5460s. Quebec co80111 •------ I+4 Greenwood Village, PS Form :0. July 2014 Certified Mail Service videsthe following benefits: ■A Certified Mall receip include applicable postage to Certified Mail label). 30-day Grace letter eturn receipt service fee;and ■A unique identifier for ACY GRM AJW :mailpiece"Return Receipt ■Electronic verification "or see a retail associate for • • 11 • delivery. assistance.For an electronic return receipt, • • • see a retail associate for assistance.To ■ Complete items 1,2,and 3.Also complete A. re ■si record of delivery(including the recipient's receive a duplicate return receipt,present signature)that is retained by the Postal this USPS'-postmarked Certified Mail 11 .� Service'for a specified period. item 4 if Restricted Delivery is desired. , � receipt to the retail associate,who will ■ Print your name and address on the reverse VtCN Agent Important Reminders: provide a duplicate return receipt for no ❑Addressee ■You may purchase Certified Mail service with additional fee. so that we can return the card to you. First-Class WHO,First-Class Package Restricted delivery service,which provides ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) Date of Delivery Service,or Priority Mail°service. delivery to the addressee specified by name, or on the front if space permits. ■Certified Mail service is not available for or to the addressee's authorized agent. international mail. Include applicable postage to cover the 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes ■Insurance coverage is not available for restricted delivery fee and endorse the If YES,enter delivery address below: ❑No purchase with Certified Mail service However, mailpiece"Restricted Delivery;'or see a — ---- — the purchase of Certified Mad service does not retail associate for assistance. change the insurance coverage automatically in To ensure that your Certified Mail receipt is Ray Anderson included with certain Priority Mail items. accepted as legal proof of mailing,it should Puckett Land Company ■For an additional fee,you may request the bear a USPS postmark.If you would like a Quebec St-,Suite 250 following services: postmark on this Certified Mail receipt,please Greenwood Village,CO 807 Return receipt service,which provides you present your Certified Mail item at a Post with a record of deliver pncludm the Office'"for postmarking.If you don't need a 3. Service Type r( iep�tp� �re� Re4Nrnati(gq�jmadl4jltryif�ryfi 'A oat hardcopy ret rn recei t or a electronic the rco a po io f is a e, M l o the ❑Certified Mail® ❑Priority Mail Express- version.For�.443 rs'k erm, a n i pieR®Ih Fro2ajStage,and complete P orm s pQsd a mai iece. ❑Registered ❑Return Receipt for Merchandise (/^^n Q n(�^^��n/� ❑Insured Mail ❑Collect on DeliveryReceipt,-attach PS Form 3 dl/re rr �F9N�IW:4aYE s receipt for your records. PS Form 3800,July 2014(Revorae)PSN 7530-02-000-9047 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number( 7014 2120 0001 7885 2585 Transfer from service labeQ PS Form 3811,July 2013 Domestic Return Receipt