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UNITED STATES POSTAL SIf `'• ��h�'' � ss r'irst�Gia 'Mai_
<br /> U.S. Postal Service'"
<br /> o RECEIPT Sender: Please print your name, address, and ZIP+40 in this box"
<br /> CERTIFIED MAILDomestic mail Only
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<br /> State of Colorado
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<br /> Department of Natural Resources
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<br /> Postage: >U.407cc w Division of Reclamation, Mining&Safety
<br /> Certified Fde: $3.300 Return Receipt Fee: r!$2 1313 Sherman Street, Suite 215
<br /> o .700 Denver, CO 80203 Spec &'c o (En n File
<br /> C3 R, Total Postage & Fees: $6,465d
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<br /> a Matt Hughes
<br /> Street ---
<br /> It or Po 5715 E. Jamieson Rd Certified Mail service provides the following benefits:
<br /> city,6 Spokane, WA. 99223 ■A Certified Mail receipt(tsp&of n�?ailpiece;include applicable postage to
<br /> Certified Mail label), t'� return receipt service fee;and
<br /> UL ■A unique identifier for youpjldiece. ,301� rse the mailpiece"Return Receipt
<br /> ■Electronic verification of delivery nueu u or see a.....I associate for
<br /> delivery. y!/^� I�IJ) assistance.For an electronic return receipt,
<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 /> Service"for a specified period. this USPSI-postmarked Certified Mad
<br /> - Important Reminders: receipt to the retail associate,who will
<br /> provide a duplicate return receipt for no
<br /> ■You may purchase Certified Mail service with additional fee.'
<br /> • • First-Class Mail'',First-Class Package Restricted delivery service,which provides
<br /> COMPLETE • Service",or Priority Mad service. delivery to the addressee specified by name,
<br /> ■Certified Mail service is notavailable for or to the addressee's authorized agent.
<br /> ■ Complete items 1,2,and 3.Also complete A. Si nature international mad. Include applicable postage to cover the
<br /> item 4 if Restricted Delivery is desired. _ ❑Agent ■Insurance coverage is not available for restricted delivery fee and endorse the
<br /> ■ Print our name and address on the reverse X ` / �-- ddressee purchase with Certified Mail service.However, mailpiece"Restricted Delivery,"or see a
<br /> y the purchase of Certified Mail service does not retail associate for assistance.
<br /> so that we can return the card to you. B. ceived by C. Date of Del'very change the insurance coverage automatically ■To ensure that your Certified Mail receipt is
<br /> ■ Attach this card to the back of the mail piece, t included with certain Priority Mail items. accepted as legal roof of mailing,it should
<br /> P T� ? P 9 P 9,
<br /> or on the front if space permits. G,I /� i I ■For an additional fee,you may request the bear a USPS postmark.If you would like a
<br /> D. Is de• ddress different from ite>d� Yes following services: postmark on this Certified Mail receipt,please
<br /> -Return receipt service,which provides you present your Certified Mail item at a Post
<br /> If Y rite.delivery address belovvt ❑ No with a record of delivery(including the Office'"for postmarking.If you don't need a
<br /> s7 ��/ recipient's signature).You can request a post m r on this Cerb Mad receipt,detach
<br /> I hardcopy return receipt or an eleDE�M S 13t�a 'elf il' s label,affix it to the
<br /> version.For a hardcopy return receipt, Ln�ylp(��r,G.� pppp��appropriate postage,and
<br /> Matt hes �, N complete PS Form 3311,Domesi[)enmver, ldSpb�Yll�kk�piece.
<br /> w Receipt,attach PS Form 3811 to your IMPORTANE Save this receipt for your records.
<br /> 571 E.. Jamieson Rd PS Form 3800,July 2014(Reverse)PSN 7530-02-000-9047
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<br /> Spokane, WA. 99223 3. SerXftype uy
<br /> ❑Ce ail® ❑Priori �" press-
<br /> --- ❑Regis �"( �� eipt for Merchandise
<br /> ❑ Insured Mai ct on Delivery
<br /> 4. Restricted Delivery?(Extra Fee) ❑Yes
<br /> 2. Article Number
<br /> (Transfer from service label) 7 014 2120 0001 7 8 8 5 6 316
<br /> PS Form 3811,July 2013 Domestic Return Receipt
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