2016-11-22_GENERAL DOCUMENTS - M1985144

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Ml UNITED STATES POSTAL SERVICE Postage First-Class Fees Paid USPS Permit No.G-10 ® Sender: Please print your name, address, and ZIP+45 in this box* PostalState of Colorado CERTIFIED ° RECEIPT Department of Natural Resources ''qEr Domestic Mail Only Division of RReclamation, Mining&Safety -� ��YlireCxa/6 Y�xaSxaarz ti -- 1313 Sherman Street,Room 215 M_1985-144 = CD I Denver,CO 80203 ERR WHE AJW _ `o $i.360 30-day Grace letter r`- Postage: ra Certified Fee: $3.300 f 3 Reh C3 (Endorse Return Receipt Fee: $2.700 C3 Restricts C:I (Endorsei $ ru Total Postage & Fees;.. �- 7.360 r-1 Total Postage&Fees rU Certified Mail - - „:.3„n fhe fnllnwinn benefits: ■A Certified Mall reef Sent To �- Certified Mail label) M-1985-744 iplicable postage to ,-� __ _______________. and R. Lewis Flllmore _______-_________ ------- ■A unique identifier I ERR WHE iiptReturnRevice e;pt C3 Street&Apt.No., ■Electronic venficatl, AJW i "Return Receipt P.O- Box 258 30-day i retail associate for � or PO Box No. delivery. y Grace letter ectronic return receipt, Boone, CO 81025 City,State,ZIP+a ■A record of delivery(including the recipient's see a retail associaLe for assistance.To signature)that is retained by the Postal receive a duplicate return receipt,present Service'for a specified period. this USPS°-postmarked Certified Mail PS Form 3800,July 2014 See Reverse for Instructions Important Reminders: receipt to the retail associate,who will ■You may purchase Certified Mad service with Provide a duplicate return receipt for no First-Class Mail",First-Class Package additional fee. Service',or Priority Mail'service. -Restricted delivery service,which provides ■Certified Mail service is not available for delivery to the addressee specified by name, international mail. or to the addressee's authorized agent. Include applicable postage to cover the ■Insurance coverage is notavaitable for restricted delivery fee and endorse the COMPLETE • • . purchase with Certified Mail service.However, mailpiece"Restricted Delivery;'or see a COMPLETE • the purchase of Certified Mail service does not retail associate for assistance. change the insurance coverage automatically ■To ensure that your Certified Mail receipt is A. Signatur included with certain Priority Mail items. ■ Complete items 1,2,and 3.Also complete n ❑Agent accepted as legal proof of mailing,it should item 4 if Restricted Delivery is desired. X //� ■For wi additional fee,you may request the bear a USPSpostmark.If you would like a GGG ❑Addressee following services: ■ Print your name and address on the reverse Return receipt service,which y postman on this Certified fled Mail receipt,please so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery P provides you present our Certified Mail item at'Post with a record of delivery including the Office'"for postmarkin .If ou d n't need a �e!!J is �' �`�"�� 6 ® iuPti(�p"��atIO7hdbrrcocle jt ng tbi i�tattcach ■ Attach this Card to the back of the mailpiece, ardco re urn recei t or an a ectronic hfstl4de po n t i a el,afflx'it to the or on the front if space permits. ❑Yes 1d3p&her slid n St all p oostage,and D. Is delivery address different from item 1. version.Fo a m ❑ No complete rtrt-3811—per}--di!$os�t e Ipiece. If YES,enter delivery address below: Receipt;attach PS Form nver C� Q�d 1. Article Addressed to: r P thisrecelpttoryourrecords. R. Lewis Fillrr1ore PS Form 3800,July 2014(Reverse)PSN 7530-02-000-9047 P.O. Box 258 Boone, CO 8 t 025 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 2691 (Transfer from service label) PS Form 3811,July 2013 Domestic Return Receipt