2016-11-22_GENERAL DOCUMENTS - M2008018

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UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS Postal - Permit No.G-10 oRECEIPT CERTIFIED MAIL .tenDomestic Mail Only ° Sender: Please print your name, address, and ZIP+4®in this box" ru c° State of Colorado CU f " $ Department of Natural Resources Postage: '�� $0.465 Division of Reclamation, Mining&Safety g ' 'i 016 ', Certified Fee: .,, pV 16 '$2 700 o (Endorsem300 l Return Receipt F�� O) $2'700 1313 Sherman Street, Room 215 Restricted �� ?� Denver,CO 80203 M-2008078 Q (Endorsenr NOI.�LS 30-day Grace letter ti 6.465 Total Poi$ge & Fee .�-•--I• $ ACY GRM AJW r 9 Total Postage&Fees ru _r Sent To - i � ------------------------ Cliff Henderson !' ilt=�,•1 ,lii• itititl�ri+Ii�lrltll'lI'itlrl,rirllili�rit'titl1 a't i I p Street&Apt.No., rson .l• ;i l t s f` or PO Box No. Flying Triangle Ranch,LLC ------------ City,State,ZIP+4 ------ 12602 US Hwy 26 Riverton,WY 82501 Certified Mail service provides the following benefits: PS Form "',July 2014 see Re7Ur90'Rff1Msitrucuons ■A Certified Mail receipt(t M-2008-018 .. '----include applicable postage to Certified Mail label). 30-day Grace letter:turn receipt service fee;and ■A unique identifier for yo ACY GRM A,/W „o■Electronic verification of rslee a retaltassoceate or delivery For an electronic return receipt, ■A record of delivery(including the recipient's see a retail associate for assistance.To Signature)that is retained by the Postal receive a duplicate return receipt,present Service'for a specified period. this USPSO-postmarked Certified Mail Important Reminders: receipt to the retail associate,who will ■You may purchase Certified Mail service with provide a duplicate return receipt for noadditional fee. SUJ•KRJ COMPLETE THIS SECTION COMPLETE • ON DELIVERY First-Class Mail',First-Class Package Restricted delivery service,which provides Service ,or Priority Mail.service. delivery to the addressee specified by name, A. Signature ■Certified Mail service is not available for or to the addressee's authorized agent. ■ C� replete items 1,2,and 3.Also complete international mail. g Ke;i i 4 if Restricted Deliveryis desired. , Agent Include applicable postage to cover the X e{t i.1e Addressee •Insurance coverage is not available for restricted delivery fee and endorse the ■ �I Ir,t your name and address On the reverse G - purchase with Certified Mail service.However, madpiece"Restricted Delivery,"or see a so that we can return the card to you. B. Received by(Printed ame) C. D�of Delivery the purchase of Certified Mail service does not retail associate for assistance. ■ Attach this card to the back of the mailpiece, 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 or on the front if space permits. ■For an additional fee,you may request the bear a USPS postmark.If you would like a D. Is delivery address different from item �. following services postmark on this Certified Mad receipt,please 1. Article Addressed to: If YES,enter delivery address below`- ❑No -Return receipt service,which provides you present your Certified Mail item at a Post wi h 4 reQorq of deliver (i luding the Office'"for postmarking f yoy�don' need a rebi 11X1�i�Ntex7 u mati0i6►�ar�Qiliflil. =p lLtyach - — -- hardeopy retyyrr nL{{e��ettgqt o electronic the b r ded portio f i I I,affix it c the Cliff Henderson version.For alb�d3��i r969rim a n Sta;lpple Comop�� tage,and complete P Form 1 es is a urn pdtSit lI ece. Flying Triangle Ranch,LLC Receipt,•attach PS Form 3 liba)t r, p{��11 s receipt for your records. 12602 US Hwy 26 PS Form 3800,JUIy2014(Roverse)PSN 7530-02-000-9047 _V'pton,W`/ 82501 3. Service Type ❑Certified Mail® ❑Priority Mail Express- 0 Registered ❑Return Receipt for Merchandise ❑ Insured Mail ❑Collect on Delivery 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number 7 014 2120 0001 7885 2660 (Transfer from service label) PS Form 3811,July 2013 Domestic Return Receipt