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