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Spec M-1984-103 U.S. Postal Service,. <br /> ,ertified Mail ProvideS: 30 day Grace letter <br /> CERTIFIED MAIL. RECEIPT <br /> i A mailing receipt <br /> File SJM GRM AJW o <br /> - 1.11 (Domestic MaH Only,No Insurance Coverage Provided) <br /> i A unique identifier for your mailpiece fU <br /> r A record of delivery kept by the Postal Service for two years co „. <br /> m Postage: <br /> Reminders: co ge: <br /> ii Certified Mail may ONLY be combined with First-Class Mail®or Priority Mail® m Certified F <br /> • Certified Mail is not available for any class of international mail. r•a ee: $1.360 <br /> ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For Cr Return Receipt Fee: r��r '' $3.300 <br /> valuables,please consider Insured or Registered Mail. C3 ! g2.]00 <br /> ■ For an additional fee,a Return Receipt may be requested to provide proof of p Ret Total P j <br /> delivery.To obtain Return Receipt service,please complete and attach a Return (Endorsen—... <br /> Receipt(PS Form 3811)to the article and add applicable postage to cover the o ostage& F q ^ o <br /> fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for eel' '$7.36 <br /> a duplicate return receipt,a LISPS®postmark on your Certified Mail receipt is C3 (EndorsemDelivery <br /> ntRequired) <br /> required. u 1 / <br /> ■ For an additional fee, delivery may be restricted to the addressee or <br /> addressee's authorized agent.Advise the clerk or mark the mailpiece with the Total Postage&Fees <br /> endorsement"Restricted Delivery". Sent To <br /> ■ If a postmark on the Certified Mail receipt is desired,please present the Maardil <br /> --------- <br /> cleat the post office for postmarking. If a postmark go theail.Certified Mailrq Mr Kane Schneider <br /> receipt is not needed,detach and affix label with postage and mail. p Street,Apt-iv. Colorado Department of Transportation <br /> f` or PO Box No. P <br /> IMPORTANT:Save this receipt and present it when ma puiry. 606 S 9th St. --------- <br /> IMPORTANT: City Srare,ziP+4 GmndJunction,CO 81501 <br /> PS Form PS Form 3� � <br /> :00 August 2006 See Reverse for instructiorkm <br /> x I <br /> ai <br /> UNITED STATES POSTAL ERVICE F� id <br /> • Sender: Please print your name, address, and ZIP+4®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 M-1984103 <br /> 34130000 30-day Grace letter <br /> - SJM GRM AJW <br /> i77COMPLETE THIS SECTION ON DELIVERY <br /> ii}}}'l�l}li,ii'ji'li��t,iiiil}i}}fiiilili <br /> COMPLETE <br /> SECTION <br /> t Complete items 1,2,and 3.Also complete A. 'gnatu <br /> item 4 if Restricted Delivery is desired. fB. eived <br /> ^Do <br /> Agent <br /> ■ Print your name and address on the reverse ❑Addressee <br /> so that we can return the card to you. fby(Prin!tedName) C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, CC) <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 Kane Schneider <br /> Colorado Department of Transportation <br /> 606 S.9th St. <br /> Grand Junction,_CO 81501 <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 7 014 0150 0000 9138 8250 <br /> (Transfer from service/abet) <br /> PS Form 3811,July 2013 Domestic Return Receipt <br />