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UNITED STATES POSTAL^stal Service'" ,SERVICE First-Class Mail
<br /> ' ` "' Postage&Fees Paid
<br /> oRECEIPT USPS
<br /> r Domestic •nly
<br /> Permit No.G-10
<br /> Mailm For delivery information,visit our website at wwwusps.com'0.
<br /> -� Sender: Please print your name, address, and ZIP+40 in this box'
<br /> cO ostage; i Q State of Colorado
<br /> r_ ertified Fee: $0.675 Department of Natural Resources
<br /> rirk
<br /> o eturn Receipt Fee: $3.300 rre Division of Reclamation,Mining&Safety
<br /> o $2.700 1313 Sherman Street, Suite 215
<br /> c3 otal Postage and Fees: Denver, CO 80203
<br /> �� Spec Okll
<br /> ,..q Total Postage 8,Fees w $6.675
<br /> ru File 5 x-
<br /> Sent To Mr. Nick Weber
<br /> a TBK Bank, formerly ----------
<br /> 0 Street&Apt.Na
<br /> � orPOB---- - Colorado East Bank & Trust
<br /> City,State,zIP+ 100 W. Pearl 1)111i11'Irl)Irri
<br /> Lamar, CO 81052
<br /> Certified Mail service provides the following benefits:
<br /> ■A Certified Mad receipt(fypn I/i'klra+lpiece;include applicable postage to
<br /> Certified Mail label). a return receipt service fee,and
<br /> IN unique identifier for yopi'le iem;X06 3a , se the mailpiece"Return Receipt
<br /> ■Electronic verification of delivery or anemptea Moqunr d,'or see a retail associate for
<br /> delivery. 1 ,f assistance.For an electronic return receipt,
<br /> ■A record of delivery(including the recipient's see a retail associate for assistance.To
<br /> COMPLETE • • • • • ^ignature)that is retained by the Postal receive a duplicate return receipt,present
<br /> Service°for a specified period. this USPSO-postmarked Certified Mail
<br /> ■ Complete items 1,2,and 3.Also complete A. Sig ure /. Important Reminders. receipt a the retail returasson
<br /> aeceipt will
<br /> P provide a duplicate return receipt for no
<br /> item 4 if Restricted Delivery is desired. X ❑Agent ■You may purchase Certified Mail service with additional fee.
<br /> ' ❑Addressee First-Class Mail'',First-Class Package Restricted deliveryprovides
<br /> ■ Print your name and address on the reverse Service",or Priority Mail"service. service,whichbyname,
<br /> so that we can return the card to you. delivery to the addressee specified byname,
<br /> Y B. R ived�y(Printed Name) C. e of I��ry Certified Mail service is not for or to the addressee's authorized agent.
<br /> p e- l(( international mail. Include applicable postage to cover the
<br /> ■ Attach of Card to the back it the mail fete, ■Insurance coverage is notavailable for restricted delivery fee and endorse the
<br /> or on the front if space permits. 9 Ye purchase with Certified Mail service.However, mail lece"Restricted Delivery,"
<br /> Is delivery address different from item 1. the purchase of Certified Mail service does not retail associate for assistanc or see a
<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 /> Mr. Nick Weber -Return receipt service,which provides you present your Certified Mail Rem at a Post
<br /> with a record of delivery(including the Office"for postmarking.If you don't need a
<br /> TBK Bank, formerly recipient's signature).You can re,9<�$ 13t r�kon�s Certified Mail receipt,detach
<br /> hardcopy return receipt or an eII�LLtt ati(Sthls label,affix it to the
<br /> Colorado East Bank & Trust 3. Service Type version.For ahardcopy return rgg��e��'pp� ,.tilpjege,ppRly appropriate postage,and
<br /> 100 W. Pearl .�Certified Mail® ❑Priority Mail Express" complete PS Form 3811,Domes'#fC�i typr, dpiece.
<br /> Receipt,-attach PS Form 3311 to your IMPORTANT:Save this receipt for your retards.
<br /> Lamar, CO 81052 ❑Registered ❑Return Receipt for Merchandise Ps Form 3800,July 2014(Reverse)PSN 7530-02-000-9047
<br /> ❑ Insured Mail ❑Collect on Delivery
<br /> 4. Restricted Delivery?(Extra Fee) ❑Yes
<br /> 2. Article Number
<br /> (Transfer from service label) 7 014 2120 0001 7885 6361
<br /> PS Form 3811,July 2013 Domestic Return Receipt
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