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UNITED STATES POSTAL SERVICE Ftrst-Class Mail <br /> Postage&Fees Paid <br /> LISPS <br /> Permit No.G-10 <br /> PostalU.S. Service" <br /> CERTIFIED ° RECEIPT Sender: Please print your name, address, and ZIP+4®in this box* <br /> cc Domestic Mail Onlytr <br /> State of Colorado <br /> u7 L ri rt i x. .. a <br /> Department of Natural Resources <br /> co <br /> r`- �`• '�$0.465 Division of Reclamation,Mining&Safety <br /> cen Postage: <br /> Certified Fee: `�3.300 �ra�CaRn <br /> Return Re< �, ��� �2.700 1313 Sherman Street,Room 215 M-2003-073 <br /> C3 (EndorsementR Return Receipt Fie: Denver,co so2o3 <br /> C] <br /> Restricted Deln File <br /> C3 (EndorsementRi $6.465 <br /> Total�Posta e & Fee <br /> ru <br /> rq Total Postage 8 Feesru <br /> I I; <br /> Sent To ti i i r i'tl 3:!stii it i It �iil ll(if l (ililti riiil-1i11 <br /> i i l 1 i l t t <br /> MikeT. and Mardi F.Anson I 1. � I• I�"• I <br /> Street&Apt.No., <br /> -- Moffat Limestone Company .------------------ <br /> or PO Box No. PO Box 363 -- <br /> - - <br /> Cit);State,ZlP+4 Craig,CO 81 626 <br /> Certified Mail service provides the following benefits: <br /> PS Form 3800,July 2014 See Reverse for instructions ■A Certified Mail receipt®'oron of the mailpiece;include applicable postage to <br /> Certified Mad label). cover Ithe return receipt service fee;and <br /> ■A unique ident-die aiipiece"Return Receipt <br /> ■Electronic verifics M-2 003-0 73 or see a retail associate for <br /> delivery. .ice.For an electronic return receipt, <br /> ■A record of delivery(including the recipient's 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 USPS®-postmarked Certified Mail <br /> receipt to the retail associate,who will <br /> Important Reminders: provide a duplicate return receipt for no <br /> ■You may purchase Certified Mail service with additional fee. <br /> COMPLETE •MPLETE THIS SECTION ON DELIVERY First-Class Mail®,First-Class Package -Restricted delivery service,which provides <br /> Service ,or Priority Mail service, delivery to the addressee specified by name, <br /> A. Si ature ■Certified Mail service is not available for or to the addressee's authorized agent. <br /> ■ Complete items 1,2,and 3.Also complete 9 g <br /> n e ©A Agent international mail. Include applicable postage to cover the <br /> item 4 if Restricted Delivery is desired. g X )/y i c ■Insurance coverage is notavailable for restricted delivery fee and endorse the <br /> ■ Print your name and address on the reverse Vdti' ❑Addressee purchase with Certified Mail service.However, mailpiece'Restricted Delivery,"or see a <br /> so that we can return the card to you. the purchase of Certified Mail service does not retail associate for assistance. <br /> Y B. Rece'ved by(Pr' ed Name) C. D to of D livery g g Y To ensure that your Certdied Mail receipt is <br /> ■ Attach this card to the back of the mail piece, � change the insurance coverage automatically ■ <br /> P Q rt�r included with certain Priority Mail items. accepted as legal proof of mailing,it should <br /> or on the front if space permits. ■For an additional fee,you may request the bear a USPS postmark.If you would like a <br /> D. Is delivery address different from item 1? ❑Yes following services: postmark on this Certified Mail receipt,please <br /> 1. Article Addressed to: If YES,enter delivery address below: 0 No -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 /> recipient's signat�}yrrg���y(pp���paa postma on this Cerhfied Mail receipt,detach <br /> -- hardcopy return r§lAi�t�b S' Nherrtnia�r lied portion of this label,affix itto the <br /> version.For a har o r--e�r¢¢re��ee�� ,{{nnailpiece,apply appropriate postage,and <br /> MikeT.and Mardi F Anson complete PS For , r(�PStrAV20-flpositthemailpiece. <br /> Moffat Limestone Company Receipt,attach PS Form 3811 to your IMPOOTANT.Save this receipt for your records. <br /> P O Box 363 Ps Form 3800,July 2014(Reverse)PSN 7530-02-000-9047 <br /> Craig,CO 81626 3. Service Type - <br /> ❑Certified Mail® ❑Priority Mail Express- <br /> 0 Registered 0 Return Receipt for Merchandise <br /> ❑ Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7 014 2120 0001 7885 7498 <br /> (Transfer from service labs <br /> PS Form 3811,July 2013 Domestic Return Receipt <br />