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UNITED STATES- ICE First-Class Mail <br /> U.S. Postal Service TM Postage&Fees Paid <br /> CERTIFIED MAIL@ RECEIPT LISPS <br /> Permit No.G-10 <br /> Domestic Mail Only <br /> Ln <br /> ru Sender: Please print your name, address, and ZIP+40 in this box* <br /> co L <br /> co State of Colorado <br /> Postage: -,$0.675 Department of Natural Resources <br /> Certified Fee: Q11 Iz <br /> C3 �300 'k Division of Reclamation,Mining&Safety <br /> C3 (EReturn Receipt Fe, '700 a&".h mny. <br /> C:3 R \I - - 1�1 1313 Sherman Street, Room 215 <br /> C3 (Er IN I M_-1997-071 <br /> 0 <br /> nj Total Postage and-Fe `� _$6.675 Denver,CO 80203 <br /> e5: 30-day Grace letter <br /> r_1 Total Postage&Fees 1$ AME WHE AJW <br /> ru <br /> Sent t To Albert F.Nesselhurt,Jr. <br /> t e N� <br /> C3 ��&W6f William&Beverly CakkveR and ------------------ <br /> t r'-- or PO BoxpNo. Albert&Loin Nessehut <br /> C, <br /> State,Z1P+4 <br /> ------------------ <br /> 31738 County Road 13 <br /> Manzanolla,CO 81058 <br /> PS Form 3800,July 2014 See Reverse for Instructions <br /> Certified Mail -following benefits: <br /> •A Certified Mail receil 30-day Grace letter iece;include applicable postage to <br /> Certified Mail label). AME V41HE AJW the return receipt service fee;and <br /> •A unique identifier foi 'se the mailpiece"Return Receipt <br /> •Electronic verification of delivery or attempted "quested,"or see a retail associate for <br /> delivery assistance.For an electronic return receipt, <br /> a A record of delivery(including the recipient's see a retail associate for assistance.To <br /> signature)that is retained by the Postal receive a duplicate return receipt,present <br /> Service:'for a specified period. this USPS'�-postmarked Certified Mail <br /> SENDER- COMPLETE THIS SECTION CC;v1P' •ETE-THIS SECTION ON DELIVERY Important Reminders: receipt to the retail associate,who will <br /> provide a duplicate return receipt for no <br /> m You may purchase Certified Mail service with additional fee. <br /> -Complete items 1.2,and 3.Also complete A.,Signature First-Class MaiP,First-Class Package -Restricted delivery service,which provides <br /> m 0 Agent ServiceO,or Priority Mail3 se vice. delivery to the addressee specified by name, <br /> item 4 if Restricted Delivery is desired. X 0 ■Address— n Certified Mail service is not available for or to the addressee's authorized agent. <br /> • Print your name and address on the reverse :;L49� _ international mail. In <br /> applicable postage to cover the <br /> so that we can return the card to you. B. Received(Print—ed"N'ame) Date of Delivery E Insurance coverage is notavallable for restricted delivery fee and endorse the <br /> • Attach this card to the back of the mailpiece, purchase with Certified Mail service.However, mailpiece"Restricted Delivery,"or see a <br /> the purchase of Certified Mail service does not retail associate for assistance. <br /> 0 Agent <br /> E3 Addres-'a. <br /> Date of Delivery <br /> t. ? E] s <br /> or on the front if space permits. change the insurance coverage automatically <br /> D. Is delivery address different from ite ? ❑0 Yes N To ensure that your Certified Mail receipt is <br /> included with certain Priority Mail items. accepted as legal proof of mailing,it should <br /> 1. Article Addressed to: If YES,enter delivery address below: 0 No m 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 /> -Return receipt service,which provides you present your Certified Mail item at a Post <br /> Albert F.Nesselhut,Jr- with EL record of dell inc1MUtAh;at,0 Officer'"to, 4,rpp,tmark&. ou n' need a <br /> William&Beverly Caldwell and deli1% a a detach <br /> hard jgeiDLqr an electronic the coded o iorif * abet,affix it to the <br /> 738 County Road 13 Copy fy 04 Fda <br /> Albert&Loin t4ess8hut version. p postage,and <br /> complele PS Form jul gestic Hetum <br /> rffCo 81058 3. Service Type Receipt,-attach PS For enmer, Cq this receipt for your records. <br /> 0 Certified Mail® [:3 Priority Mail Express- Ps Form 3800,July 2014(Reverse)PSN 7530-02-000-9047 <br /> 0 Registered [:]Return Receipt for Merchandise <br /> 0 Insured Mail 0 Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) 0 Yes <br /> 2. Article Number <br /> (transfer from service label) _ _?014 2120 0001 ?885 2561 <br /> PS Form 3811,July 2013 Domestic Return Receipt <br />