2016-11-28_GENERAL DOCUMENTS - M2016019

Home Browse Search

UNITED STATES POSTAL SERVIC .-Rrtf-Q4assjV'bit a Faye 4f� Paid Perrrif No.'G 40--, U.S. Postal Service" Sender: Please print your name, address, and ZIP+40 in this box* CERTIFIED MAIL@ RECEIPT State of Colorado Ln Domestic Mail Only Er Department of Natural Resources C3 rip Division of Reclamation,Mining&Safety Ln 1313 Sherman Street, Suite 215 CD ------ --------------------t COIQ Denver, CO 80203 Spec r- Return Receipt Fee: File $2.700 r_q C3 c3 Total Postage & Fees: nark C3 $6.465 're C3 Postage: ru $0.465 ge�e: ru l i $3.300 Sent To Certified Mail swvice provides the following benefits' ty, `�.t -- -------- r-3 Street WXfii.-fF10---------- Z A Certified Mail receipt ApleGon of th� mailpiece,include applicable postage to Apt or 0 -----If---------------------------------- Certified Mail label) the return receipt service fee;and PO Box No. -State, S e the mailpiece"Return Receipt --- --------- ---- _V L -Zlj5;4------ --- A A unique identiflerforyElte'lo I& s .4 ....................... a Electronic verification of delivery or attempted Hequesied, or see a retail associate for delivery. assistance.For an electronic return receipt, • see a retail associate for assistance.To s A record of delivery(including the recipient's receive a duplicate return receipt,present signature)that is retained by the Postal this USPSO-postmarked Certified Mail Service'D for a specified period. receipt to ft,retail associate,who will Important Reminders., provide a duplicate return receipt for no a You may purchase Certified Mail service with additional fee. First-Class Mail',First-Class Package Restricted delivery service,which provides Service',or Priority MailO service. delivery to the addressee specified by name, s Certified Mail service is not available for or to the addressee's authorized agent. international mail. Include applicable postage to cover the S Insurance coverage is not available for restricted delivery fee and endorse the SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY purchase with Certified Mail service.However, mailpiece"Restricted Delivery,"or see a the purchase of Certified Mail service does not retail associate for assistance. • Complete items 1,2,and 3.Also complete -A Sig change the insurance coverage automatically a To ensure that your Certified Mail receipt is included with certain Priority Mail items. accepted as legal proof of mailing,it should item 4 if Restricted Delivery is desired. 0 Agent n For an additional fee,you may request the bear a USPS postmark.If you would like a • Print your name and address on the reverse X Mi 4! ,,,06ddressee following services: postmark on this Certified Mail receipt,please so that we can return the card to you. Return receipt service,which provides you present your Certified Mail item at a Post Received b (Printed N of Delivery with a record of delivery(including the Office-for postmarking If you don't need a • Attach this card to the back of the mailpiece, V_ Name) ate recipient's signature),You can request postmark on this Certified Mail receipt,detach or on the front if space permits. harelcopy return receipt or an eORMS 1313 Ghrd"pigthis label,affix ittothe D. Is delivery address different from em I? 111 Yes version.For a hardcopy return receipt, mailpiece,app y appropriate postage,and I Article Addressed to: �1 complete PS Form 3811,DomeDe4ive r, CIDPW20r3ilpiece. If YES,enter delivery address below: 0 No Receipt,•attach PS Form 3811 to your IMPORTANT.,Save this receiptfor your records. DeAvi'd 4, c--* z13� 3. Type AEWT— rtified Mail® 13 Priority Mail Express' egistered El Return Receipt for Merchandise sured Mail 0 Collect on Delivery Delivery? 14 ,,.ttretd rDMe]ivery?(Extra Fee) El Yes 2. Article Number (Transfer from service label) 7014 2i 0001 7885 6095 PS Form 3811,July 2013 Domestic Return Receipt