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UNITED STATES POSTAL SEk3%fi6�t -Fi>S�Class ail
<br /> e`iys Paid
<br /> Postal - _ ..� 't. _A'_i.' ir'-1 Y'�• - s `-hy ,., i5..'pvmtt No.'Ca4,.m+,n
<br /> ■ , RECEIPT
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<br /> r_ •�mestic Mail • * Sender: Please print your name, address, and ZIP+40 in this box'
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<br /> rO (eturn Receipt Fee: < ; State of Colorado
<br /> `a 4 Department of Natural Resources
<br /> r-q -otal Postage & Fees: tt; irk Division of Reclamation,Mining&Safety
<br /> C3 � 1313 Sherman Street Suite 215
<br /> o (F�ostage: $0.465(certified Fee: ;-
<br /> Denver CO 80203 :TIYAoCQ kAl Spec PSG
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<br /> °�r�trcp5 ' ft!/y�
<br /> r-q Total Postage&Fees L$ I File / P
<br /> r" Sent To Mr. William G. Johannsen
<br /> Belvedere Stone, LLC -_-____----_ , ,►! 1.lr!!: 1 i Ii i '1' if' 11 ' t t "!1 ,i!
<br /> � Street&Apt.
<br /> O or PO BoxNc c/o Ms. Ginny Kenley
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<br /> City State,Zt 2635 Steel Dr.
<br /> Colorado Springs, CO 80907rjqgg - Certified Mail service provides the following benefits-
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<br /> ■A Certified Mail receipt(tS j"Cr1 o 'o f4 mailpiece;include applicable postage to
<br /> Certified Mail label). a return receipt service fee;and
<br /> m A unique identifier for yo f j�iec4Y1 AV/ orse the mailpiece"Return Receipt
<br /> ■Electronic verification of delivery or ditempfud R-ine—,"or see a retail associate for
<br /> delivery. jAW g � assistance.For an electronic return recei
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<br /> ■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 /> Services for a specified period. this USPS°-postmarked Certified Mail
<br /> COMPLETE • • DELIVERY• • Important Reminders., receipt to the retail associate,who willprovide duplicate return receipt for no
<br /> ■You may purchase Certified Mail service with additional fee.
<br /> ■ Complete items 1,2,and 3.Also complete A. Signature First-Class Mail',First-Class Package
<br /> p ' ,, -Restricted delivery service,which provides
<br /> item 4 if Restricted Delivery is desired. ` "� _ [3 Agent Services,or Priority Mail service. delivery to the addressee specified by name,
<br /> V '(,�/'(!� ❑Addressee ■Certified Mail service is notavailable for or to the addressee's authorized agent.
<br /> ■ Print your name and address on the reverse X + international mail. Include applicable postage to cover the
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<br /> so that we can return the card to you. B. Received by(Ahmed Name) C. Date of Delivery ■Insurance coverage is notavailable for restricted delivery fee and endorse the
<br /> ■ Attach this card to the back of the mailpiece, \/k k W b61 ,) -i' purchase with Certified Mail service.However, mailpiece"Restricted Delivery,"or see a
<br /> or on the front if space permits. the purchase of Certified Mail service does not retail associate for assistance.
<br /> D. Is delivery address different from item 1? 0 Yes 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 /> 1. Article Addressed to: If YES,enter delivery address below: [3 No ■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 /> — -- t -Return receipt service,which provides you present your Certified Mail item at a Post
<br /> with a record of delivery(including the Office-for postmarking.If you don't need a
<br /> Mr. William G. Johannsen recipient's signat��q,r�eta postmark on this Certified Mail receipt,detach
<br /> Belvedere Stone, LLC hardcopyreturnr nkk iSherMa#rsyped portion ofthis label,affix ittothe
<br /> version.For a har return re�e}�t, mailpiece,apply appropriate postage,and
<br /> C/O Ms. Ginn Kenle complete PS FoabfhVe Es�iV 80203depositthe mailpiece.
<br /> y y 3. Service Type Receipt attach PS Form 3811 to your IMPORTANT:Save this receiptior your records.
<br /> 2635 Steel Dr. Id Certified Mail® ❑Priority Mail Express- Ps Form 3800,July 2014(Reverse)PSN 7530-02-000-9047
<br /> Colorado Springs, CO 80907 0 Registered ❑Return Receipt for Merchandise
<br /> --- ❑ Insured Mail 0 Collect on Delivery
<br /> 4. Restricted Delivery?(Extra Fee) ❑Yes
<br /> 2. Article Number 7014 2120 0001 7885 6477
<br /> (Transfer from service/abed
<br /> PS Form 3811,July 2013 Domestic Return Receipt
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