2017-02-06_GENERAL DOCUMENTS - P2014017

Home Browse Search

_ e { r• r i2 ? ..i;� .:t. � p�k '-ti�*"„, � i»" UNITED STATES`P�1S=fi11'"Sold t (? �1 &FAeS; Yd .., C+•-`'.<.:Nf�P'1;��.K4r2 YpSi�s,,�' . stal Service'm . • ° RECEIPT • Sender: Please print your name, address, and ZIP+4®in this box• Domestic Mail Only N _n _ -D State of Colorado Ln Department of Natural Resources m � Postage: $0.4f�� Division of Reclamation, Mining&Safety Certified Fee: $3.3o1�``ti S gd�"t �•,� a�� 1313 Sherman Street, Suite 215 Spec Q Return Receipt Fee: $2.700 �Xo Denver, CO 80203 co c 4 File /O-AAtr�17 Q (L Total Postage & Fee: $6.465ru �7 1 r-1 Total Postage 8 Fef r Sent To Mr. Kenneth Schaaf C3 Street&Apt No; 1205 H Lane P_ or PO Box No. - --------------- "---- Delta, CO 81416 CSfy,Sfate,ZlP+4 --------•----- - .. Certified Mail service provides the following benefits; ■A Certified Mail receipt(tSp ftn of the, i'm mallpiece;Include applicable postage to certified Mail label). r e return receipt service fee;and ' ■A unique identifierfor yolF ftplecep 247 orse the maiipiece"Return Receipt ■Electronic verification of delivery or attempted MT emp a d,"or see a retail associate for delivery. S L I 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 USPS®-postmarked Certified Mail receipt to the retail associate,who will Important Reminders provide a duplicate return receipt for no ■You may purchase Certified Mail service with additional fee. First-Class Mail®,First-Class Package Restricted delivery service,which provides Service",or Priority MaII0 service, delivery to the addressee specified by name, COMPLETE •N COMPLETE T141S SECTIONON ■Certified Mail service Is notavailable for or to the addressee's authorized agent. international mail. Include applicable postage to cover the ■ Complete items 1,2,and 3.Also complete A. Signature ■Insurance coverage Is not available for restricted delivery fee and endorse the purchase with Certified Mail service.However, mallpiece"Restricted Delivery,"or see a Item 4 if Restricted Delivery is desired. X / f ❑Agent the purchase of Certified Mail service does not retail associate for assistance. ■ Print your name and address on the reverse t 0 Addressee change the insurance coverage automatically ■To ensure that your Certified Mail receipt is so that we can return the card to you. included with certain Priority Mail items. accepted as legal proof of mailing,it should y B. Recessed by rioted Nam C. Date of Delivery ■For an additional fee,you may request the bear a LISPS postmark.If you would like a ■ Attach this card to the back of the maiipiece, %" r �� 1 following services: or on the front ifs ace permits. g postmark on this Certified Mail receipt,please p p -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-c�an request a postmark on this Certified Mail receipt,detach hardcopy return i iWi5ml-lild i6he rnVa SVpd portion of this label,affix it to the version.For a hardcopy return recei t, maiipiece,apply appropriate postage,and complete PS Forr(t�nVBPpQGe88203depositthe maiipiece. Receipt,'attach PS Form 3811 to your IMPORTANT Save this receipt for your records. Ps Form 3800,My 2014(Reverse)PSN 7530-02-000-9047 Mr. Kenneth Schaaf 1205 H Lane 3. Service Type Delta, CO 81416 aCertified Mail® ❑Priority Mail Express' ❑Registered 13 Return Receipt for Merchandise ❑Insured Mail ❑Collect on Delivery 4. Restricted Delivery?(Extra Fee) I]Yes 2. Article Number 7014 2120 0001 7885 6675 (Transfer from service label) PS Form 3811,July 2013 Domestic Return Receipt