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c:ertmea man service provfaes the touovinng oenetits: <br /> is A Certified Mail receipt(th,i,sportio of�h mailpiece;include applicable postage toPostal <br /> Certified Mail labeQ.03 f of <br /> cover the return receipt service fee;and <br /> ■A unique identifier for your mailpiece. endorse the mailpiece"Return Receipt CERTIFIED MAIL@ RECEIPT <br /> ■Electronic verification of deliverX or attempted Requested,"or see a retail associate for Domestic • <br /> delivery. nly <br /> pp assistance.For an electronic return receipt, <br /> ■A record of deliveryr�ri ee a retail associate for assistance.To Er For delivery information,visit our website at wwwusps.comll. <br /> signature)that is retained by the Postal receive a u i m receipt,present <br /> Service®for a s erg rhetd.✓1n this USPS®-postmarked Certified Mail <br /> p ff[C ft 1!t K 2ahreceipt to the retail associate,who will <br /> Important Reminders: rn receipt for no <br /> is You may purchase Certified Mail service with additional fee. <br /> First-Class Mail ,First-Class Package -Restricted delivery service,which provides 465 <br /> co <br /> Service®,or Priority Mail®service. delivery to the addressee specified by name, rl- ylU <br /> ■Certified Mail service is not available for or to the addressee's authorized agent. r A Postage: �8 $3 Oo <br /> International mail. Include applicable postage to cover the <br /> ■Insurance coverage is not available for restricted delivery fee and endorse the Certified Fee:Q (Ed l� 00 <br /> purchase with Certified Mail service.However, mailpiece"Restricted Delivery,"or see a nc <br /> o Return Receipt Fee:�, , <br /> the purchase of Certified Mail service does not retail associate for assistance. Rest 6 <br /> change the insurance coverage automatically ■To ensure that your Certified Mail receipt is (Endc F <br /> included with certain Priority Mail items. accepted as legal proof of mailing,it should C3 s r! .465 <br /> ■For an additional fee,you may request the bear a USPS postmark.If you would like a Tots Total Postage &Fees: �--- <br /> following services: postmark on this Certified Mail receipt,please ru " I <br /> -Return receipt service,which provides you present your Certified Mail item at a Post <br /> with a re c p�q �q� ce'"'f c ostma • f u on't need a Sent To <br /> recipient's s�ignafu�reof �St�dmati ipt,detach Jerry Nettleton <br /> versio.F. arf�f c!!pyr pypgiF St g r'pdpq{Yjo�l�pel,ae,anit tothe C3 Sireei8, Twentymile Coal LLC <br /> version.For a har co y r€tu C2i)f[ '•f1 apbyl�b )foliage,and <br /> complete PS Form 3811,Do a mailpiece. N or PO Bo <br /> --------- <br /> Receipt attach PS Form381 Save this receipt for your records. city, 29515 Routt County Road #27 <br /> PS Form 3800,Jmy 2014(Reverm)PSN 7530-02-000-9047 Oak Creek, CO 80467 <br /> 9 <br /> UNITED STATES &8'rR,I-,&ICE First-Class Mail <br /> Postage&Fees Paid <br /> CC'I >^` .t USPS <br /> Permit No.G-10 <br /> • Sender: Please print your name, address, and ZIP+4®in this box* <br /> State of Colorado <br /> Department of Natural Resources <br /> Division of Reclamation,Mining&Safety <br /> 1313 Sherman Street, Suite 215 <br /> Denver,CO 80203 pM�a Spec__IA _ <br /> File M)JK U h <br /> II'lllllll'1f11i),Illll fit III 1i11 III r111,Ill llVERY <br /> "'llllillili�lllr� <br /> COMPLETE • COMPLETE • ON. <br /> ELI <br /> ■ Complete items 1,2,and 3.Also complete A. Signat a <br /> gent <br /> item 4 if Restricted Delivery is desired. X '0 Addressee <br /> ■ Print your name and address on the reverse <br /> so that we can return the card to you. p B. Re�� ( r' to Name) C. Dat f Deli e <br /> ■ Attach this card to the back of the mail iece, !�. r <br /> or on the front if space permits. <br /> D. Is delivery address different from item 17 Yes <br /> 1. Article Addressed to: if YES,enter delivery address below: ❑No <br /> Jerry Nettleton <br /> Twentymile Coal, LLC <br /> 29515 Routt County Road #27 3. Service <br /> 91!(Certified Mail® [I Priority Mail <br /> Express-[3 Registered ❑Return Receipt for Merchandise <br /> - - Cl Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number <br /> (Transfer from service fabeo ?014 2120 0001 ?8 6 9 6981 <br /> PS Form 3811,July 2013 Domestic Return Receipt <br />