2016-12-13_GENERAL DOCUMENTS - M2006024

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UNITED STATES POSTAL SE5VI9F1_ �`W r h Fiatjss iVlal�. m s t"FessaE?k-ud' DomesticU.S. Postal Service" CERTIFIED MAILP RECEIPT Only Sender: Please print your name, address, and ZIP+41 in this box* ;.A� • a:. State of Colorado ca Department of Natural Resources co postage: $0.675 i Division of Reclamation, Mining&Safety a Zertified Fee: $3.300 1313 Sherman Street, Suite 215 0 (Eneturn Receipt Fee: $2.700 Denver, CO 80203 LaL Spec C3 Re: File ar90(OOo1 C3 (En Total Postage and Fees: $6.675 rL r-q Total Postage&Fees I ru Sent To Mr. Randall Roberson :I- TBK Bank, formerly --------- i►il 'lIII,t,1,il)II:}li III ii,I,II„hill ltlll,-tj }Idilil C3 B ores:or PO Box No. Colorado East Bank & Trust 0 . ---------- City Stare,ziP+• P O Box 930 La Junta, CO 81050 Certified Mail service prpvL_tdes the ollowing benefits: a A Certified Mail receipt(thsp ft V� Iece;include applicable postage to Certified Mail label). �l cover n_jeturn receipt service fee;and ■A unique identifier for youfijjeeceM 0&9knO& a mailpiece"Return Receipt ■Electronic verification of delivery or attempts ,"or see a retail associate for delivery. JA , assistance.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 USPSI-postmarked Certified Mail receipt to-the retail associate,who will Important Reminders: provide a duplicate return receipt for no e You may purchase Certified Mail service with additional fee. First-Class Mail°,First-Cass Package Restricted delivery service,which provides Service ,or Priority Mad service. delivery to the addressee specified by name, SECTIONCOMPLETE THIS • DELIVERY ■Certified Mail service is notavailable for or to the addressee's authorized agent. COMPLETEinternational mail. Include applicable postage to cover the A. Si na e4 ■Insurance coverage is notavailable for restricted delivery fee and endorse the ■ Complete items 1,2,and 3.Also complete 9 p ry,"orsee a p p purchase with Certified Mail service.However, mail iece"Restricted Delivery," item 4 if Restricted Delivery is desired. ❑Agent the purchase of Certified Mail service does not retail associate for assistance. ■ Print your name and address on the reverse X Addressee 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 so that we can return the card to you. Rjecei&d by(Pant e) Date f Delivery ■for an additional fee,you may request the bear a USPS postmark.If you would like a ■ Attach this card to the back of the mailpiece, � ' ? following services: postmark on this Certified Mail receipt,please or on the front if space permits. t -Return receipt service,which provides you present your Certified Mail item at a Post D. Is delivery address different from item 1? ❑Yes with a record of delivery(including the Office'"for postmarking.If you don't need a 1. Article Addressed to: If YES,enter delivery address below: ❑ No recipient's signature).You can reguestt a postmark on this Certified Mail receipt,detach ry hardcopy return receipt or eDR c1313 t%1 WrM0nr1St pf this label,affix it to the version.For a hardcopy return receipt, mailpiece apply appropriate postage,and complete PS Form 3311,DDeaverrpCO 80264 mailpiece. Mr. Randall Roberson Receipt,attach PS Form 3811 to your IMPORTANT:Save this receipt for your records. TBK Bank, formerly PS Form 3800,July 2014(Reverse)PSN 7530-02-000-9047 Colorado East Bank & Trust P O Box 930 3. Service Type La Junta, CO 81050 XCertified Mail® ❑Priority Mail Express- 0 Registered ❑Return Receipt for Merchandise ❑ Insured Mail ❑ Collect on Delivery 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number 7014 2120 0001 7885 6446 (Transfer from service taboo PS Form 3811,July 2013 Domestic Return Receipt