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VY\\••\VY•Y�Y\\VV\Y\VV'/\VY\YW Y• \ YY\\•�Y ••V\\W <br /> ■A Certified Mail receipt(this portion of the mailpiece;include applicable postage to • • <br /> Certified Mail label). �/W , cover the return receipt service fee;and <br /> ■A unique identifier for your Mstal Service'" <br /> ali'piele, endorse the mailpiece"Return Receipt 1 CERTIFIED MAILO RECEIPT <br /> ■Electronic verification of delivery or attempted Requested,"or see a retail associate for delivery. assistance.For an electronic return receipt, Domestic <br /> \ Only <br /> ■A record of delivery(h felydj[tfl the rA7pi�pty see a retl as fnai sistance.To C3 <br /> Ae1r a up icate return receipt,present 0For delivery information,visit our website at wwwusps.comll. <br /> signature)that is retal <br /> Service®for a specified period. thig IJSPS®-postmarked Certified Mail <br /> �p <br /> t to the retail assoc'te,who will <br /> Important Reminders:��111QQ# (Yi�7��- ��ra ereurnreceiptforno lT' <br /> ■You may purchase CarlifI 1VIdiI S w2tviCE-itit additional fee. ,0 <br /> First-Class Mail®,First-Class Package Restricted delivery service,which provides CEI Postage $ <br /> Service®,or Priority Mail®service. delivery to the addressee specified by name, C`- <br /> ■Certified Mail service is not available for or to the addressee's authorized agent Certified Fee , <br /> international mail. Include applicable postage to cover the r1 /�� Postmark <br /> ■Insurance coverage is not available for restricted delivery fee and endorse the p Return Receipt Fee Here <br /> purchase with Certified Mail service.However, mailpiece"Restricted Delivery,"or see a p (Endorsement Required) <br /> the purchase of Certified Mail service does not retail associate for assistance. Restricted Delivery Fee <br /> change the insurance coverage automatically ■To ensure that your Certified Mail receipt is (Endorsement Required) <br /> included with certain Priority Mail items. accepted as legal proof of mailing,it should C3 <br /> ■For an additional fee,you may request the bear a USPS postmark.If you would like a nJ - <br /> following services: postmark on this Certified Mail receipt,please r_9 Total Postage&Fees <br /> -Return receipt service,which provides you present your Certified Mail item at a Post ru <br /> with a r�glp¢ fn tatio <br /> sent TorecipienYsstgre).�uc�e biriiA/receipt,detach Mr. Jerry Nettleton <br /> hardco AD o Ia6el,affixfttothe _______py . SfreteCB Apt. <br /> version.Fora copy postage,and o Twentymile Coal LLC <br /> complete PS Form 3811, e mailpiece. <br /> or PO Box N� <br /> Receipt•attachPSFor gavethkreceipttoryurrecoras. CityStafe,Z 29515 Routt County Road #27 <br /> PS Form 3800,July 2014(Reverse)PSN 7530.02.000.9047 Oak Creek, CO 80467 <br /> First-Class Mail ) <br /> UNITED STATE]:kV ' RVICE Postage&Fees Paid <br /> USPS <br /> Permit No.G-10 <br /> a; <br /> • r name, address, and Z1P+4®in this box* <br /> Sender: Please print you <br /> State of Colorado <br /> Department of Natural Resources <br /> Division of Reclamation,Mining&Safety <br /> 1313 Sherman Street, Suite 215 Spec Ater( <br /> Denver,CO 80203 3^1 %_3 File ()'t l0-7g 3i5 <br /> nilr,illiiilll'I'irrlfir,ru IIiiIII'lIi'I1 4III'illlrn illliillr <br /> LIVERY <br /> CoMPLETE THISSEcTION oN . <br /> IE <br /> ra <br /> Complete <br /> A. Signature�f �,1.6gent <br /> ■ Complete items 1,2,and 3.Also comp G <br /> X [I Addressee <br /> item 4 if Restricted Delivery is desired. B. Rec�ive`� ( a <br /> � <br /> WV <br /> ■ Print your name and address on the reverse p to Name) C. D <br /> so that we can return the card to you. p y f� dj, <br /> ■ Attach this card to the back of the mail iece, (fly( ❑Yes <br /> or on the front if space permits. D. Is delivery address different from item 1. <br /> If YES,enter delivery <br /> address below: ❑No <br /> 1. Article Addressed to: <br /> Mr. Jerry Nettleton <br /> Twentymile Coal, LLC <br /> 29515 Routt County Road #27 3• Service Type <br /> gr <br /> Certified Mail® ❑Priority Mail Expresse' <br /> Oak Creek, CO 80467 ❑Registered ❑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 7 8 6 9 7 0 01 <br /> (Transfer from service labeq <br /> PS Form 3811,July 2013 <br /> Domestic Return Receipt <br />