2017-07-09_GENERAL DOCUMENTS - M2016022

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• • COMPLETE SENDER: Certified Mail service provides the fallowing benefits: p A. Signature ■A Certified Mail receipt(6iQ@0n of the mail iece,include applicable postage to ■ Complete items 1,2,and 3.Also complete ❑Agent Certified Mail label). pp p g item 4 if Restricted Delivery is desired. X ❑Addressee cover a return receipt service fee,and ■A unique identifier for yorr"piece. endorse the mailpiece"Return Receipt ■ Print your name and address on the reverse ■Electronic verification of delivery or attempted ed,"or see a retail associate for so that we can return the card to you. B. ceived by rinted N me) C. Date of Delivery y delivery assistance For an electronic return receipt, ■ Attach this card to the back of the mailpiece, ''4� pl/ ' l( ■A record of delivery(including the recipient's see a retail associate for assistance To ❑Yes signature)that is retained by the Postal receive a duplicate return receipt,present or on the front if space permits. D. Is delivery a dress diffe ent from item I? Service'"for a specified period. this USPS%ostmarkad Certified Mad Important Reminders: receipt to the retail associate,who will 1. Article Addressed to: \ If YES,enter delivery address below: ❑ No ■You may purchase Certified Mail service with provide a duplicate return receipt for no f r First Class Mad',First-Class Package additional fee ` '�l (� Service",or Priority Mail'service Restricted delivery service,which provides delivery to the addressee specified by name, if j Ci v(1 i,� ■Certified Mad service is not availaable for re tr the addressee's authorized agent. t1 international mail Include applicable postage to cover the C ■Insurance coverage is notavailable for restricted delivery fee and endorse the I r� 2 b t♦'\ purchase with Certified Mail service However, mailpiece"Restricted Delivery,"or see a �4 �l 3. SServrvice Type the purchase of Certified Mail service does not retail associate for assistance. 1 t� I Certified Mail® priority Mail Express" change the insurance coverage automatically ■To ensure that your Certified Mail receipt is {Ca (� l� included with certain PriorityMail items ❑ Registered ❑Return Receipt for Merchandise accepted as legal proof of mailing,it should �� 'J j ■For an additional fee,you may request the bear a USPS postmark.If you would like a ❑ Insured Mail ❑Collect on Delivery following services: postmark on this Certified Mail receipt,please -Return receipt service,which provides you present your Certified Mail item at a Post 4. Restricted Delivery?(Extra Fee) ❑Yes With a record of deliver ( ludin the Office'"for postmarks g.If ou¢a n'-t need a [ P1atC@I'itl�tl OSt�l�Pl�fieteeldetach -�D 14 212 D D D D 1 7 8 8 5 3865 r coy r urn receip or an a ec ronic b rcode po o�y,�f�h�1abel_aff_ik it to the 2. Article Number version. r h�r�o jrqMn St. ai ®®Il1'1pp2llpostage,and (Transfer from ser --- Recelpt n Tifmdpiece. f Domestic Return Receipt Receipt,•attach PS For 8)PSN 75 0- C this receiPt for your records. PS Form 3811,July 2013 Ps Form 3800,July 2014(Reverse)PSN 7530-02-000-9047 - Postal CERTIFIED MAILP RECEIPT U-) Domestic MaY • nly UNITED STATES POSTAL SERVICE First-Class Mail Co Postage&Fees Paid ' LISPS - °: ", , i p 11 -y Permit No.G-10 L, �' 'µ `IO o Postage: w • Sender: Please print your name, address, and ZIP+4®in this box* r` Certified Fee: $0.675 rq Return Receipt Fee: $3'3C1t7"'k State of Colorado o (E� Department of Natural Resources E3 (E Total Postage and Fees: 41 ;5 Division of Reclamation,Mining&Safety a Total Postage&Fees Is y i ? fit; r 1313 Sherman Street, Suite 215 ru Denver,CO 80203 Spec se o tiro; File M �IU—� 7� Stree &Apt.No., i 4. or PO Box No. lrj�j b ---------- ` — city,S te,ZIP+ QII�i e oc 6 PS Form 3BOO,July 2014 See Reverse for Instructions