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3 1111G4 1r1Q11�G1 rnY-V.Vr1vw N.v•v".v""u.J vim........ <br /> Certified Mail receipt(this portion of the mailpie M-1977-153 0 <br /> ,r ified Mail label). cover tl 30-day Grace letter d U.S. • . <br /> stal Service'N' <br /> uriqu erforyour mailpiece. endorse TOD WHE AJW <br /> ectronfe r9f ran of drlivery or attempted Reques. ----.--.jr CERTIFIED MAIL@ RECEIPT <br /> ,livery. or an electronic return receipt, ruDomesticrecor e <br /> see a retail associate for assistance.To <br /> natu 4(d@liy�ry Including the recipient's cc <br /> nly <br /> gnatu )Nt3t d7eiained_bv the Postal receive a duplicate return receipt,present � <br /> 'rvice®for a specified period. ® ostmarked Certified Mail 0 <br /> receipt to the retail associate,who will _ ^ <br /> rortant Reminders: provide a duplicate return receipt for no '-., <br /> ru may purchase Certified Mail service with P P P ra f V, <br /> Y P additional fee. <br /> rst-Class Mail®,First-Class Package Restricted delivery service,which provides ro Postage: <br /> :rvice ,or Priority Mail service. delivery to the addressee specified by name, rl- Certified Fee: $1.150 <br /> =rt fied Mail service is not available for or to the addressee's authorized agent <br /> ternational mail. Include applicable postage to cover the $3.300 <br /> surance coverage is notavailable for restricted delivery fee and endorse the a Return Receipt Fee: <br /> irchase with Certified Mail service.However, mailpiece"Restricted Delivery,"or see a C3 $2.700 <br /> ie purchase of Certified Mail service does not retail associate for assistance. O (End( <br /> range the insurance coverage automatically ■To ensure that your Certified Mail receipt is Res Total Postage <br /> ,cluded with certain Priority Mad items. accepted as legal proof of mailing,it should (EndL ge & Fees. $7 50 <br /> )r an additional fee,you may request the bear a USPS postmark.If you would like a C3 - <br /> allowing services: postmark on this Certified Mad receipt,please <br /> Return recei s rvice,wprovidesyou pre lor Cer�e�1-I em at a Post Total Postage&Fees AJAVI <br /> with � In atlonWdon'tneeda _ <br /> � <br /> recipient's s��'9g��at�u��)) Qpu can re uestaa ostmark x ail receipt,detach Sent To <br /> hardcopy reLdlle�etB9bliilt. Deo�label,affix it to the <br /> version.For a hardcopy r e �alpie�e apply appropriate postage,and r-1 --------------------- Mr Ryan Stilt <br /> ��1� Street 6 Apt.No., <br /> complete PS form 3811, a mailpiece- O City and Cou ' <br /> Receipt attach PS Form 3 r IMP09TAM:Save this receipt for your records. -- PO Box N-- <br /> (� ------------ Board of Water C r�sldhdrs <br /> =orm 3800,My 2014(Raverm)PSN 7530-02-OM9047 City,State,ZlP+4 1600 W.12th Ave.-Max Code 413 -- ---------- <br /> Denver,CO 80204 <br /> PS Form 3800,July 2014 See Reverse for InstructiorVj <br /> UNITED STATE W �RVICE First-Class Mail i <br /> �.r Postage&Fees Paid <br /> 29 MAW 1,16 USPS <br /> Permit No.G-10 <br /> r <br /> • Sender: Please print your name, address, and ZIP+401 in this box* <br /> State of CO -Dept. of Natural Resources <br /> Division of Reclamation, Mining &Safety <br /> MINERALS <br /> 1313 Sherman Street, Room 215 <br /> Denver, CO 80203 <br /> 34130000 M-1977-1 s3 -- <br /> - - <br /> - - — 30-day Grace letter <br /> ----- - TOD VWIE AJW <br /> lllrlilil111rlIlNll111111!ll1i111111ul11f1illuilllllil1111l1y , <br /> SECTIONSENDER: COMPLETE THIS SECTION COMPLETE THIS <br /> . <br /> ■ Complete items 1,2,and 3.Also complete A. SAnature <br /> item 4 if Restricted Delivery is desired. ❑Ag nt <br /> ■ Print your name and address on the reverse Ad ressee <br /> so that we Can return the card to you. B. Received b (Printed Name) C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front if space permits. <br /> D. Is delivery address different from item 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑No <br /> Mr.Ryan Stitt <br /> City and County o(DeRver— <br /> t3nardvfWaTer Commssvoners <br /> 1600 W.12th Ave.-Mail Code 413 <br /> _ Denver,C_Q_80204 <br /> 3. Service Type <br /> ❑Certified Mail® ❑Priority Mail Express'" <br /> ❑ Registered ❑Return Receipt for Merchandise <br /> ❑ Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7014 2120 0001 7871 0892 <br /> (transfer from service label) <br /> PS Form 3811,July 2013 Domestic Return Receipt <br />