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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> Certified Mail service provides the following benefits- ■ Complete items 1,2,and 3.Also complete A. g tur <br /> ■A Certified Mail receipt(this portion of�eC 5 1 ; ce;include applicable postage to item 4 if Restricted Delivery is desired. X ❑Agent <br /> Certified Mail label). 0 —tee 1pt service fee;and ■ Print your name and address on the reverse 0 Addresse <br /> ■A unique identifier for your mailpiece. a"Return Receipt so that we can return the card to you.C� rn etail associate for y B. Received by(Printed Name) C. Date of D liver <br /> ■Electronic verification of delivery or atte ■ Attach this card to the back of the mailpiece,delivery. ��1,�v) assistance.For an electronic return receipt, P (/a <br /> ■A record of delivery(including the recipient's see a retail associate for assistance.To or on the front if space permits. V <br /> signature)that is retained by the Postal receive a duplicate return receipt,present D. Is delivery address different from item 1? Y s <br /> Serwce�for a specified period. this USPS postmarked Certified Mad 1. Article Addressed to: <br /> receipt to the retail associate,who will If YES,enter delivery address below: 0 No <br /> Important Reminders: provide a duplicate return receipt for no <br /> ■You may purchase Certified Mail service with additional fee. <br /> First-Class Mad',First-Class Package -Restricted delivery service,which provides <br /> Service®,or Priority Made'service. delivery to the addressee specified by name, Mr D I <br /> ■Certified Mail service is not available for or to the addressee's authorized agent. angel M. Russell <br /> international mail. Include applicable postage to cover the 9042 <br /> ■Insurance coverage is notavailable for restricted delivery fee and endorse the ., S. 106 Road <br /> purchase with Certified Mail service.However, mailpiece"Restricted Delivery,"or see a Al CO81101 3. Service Type <br /> amosa the purchase of Certified Mail service does not retail associate for assistance. C UK Certified Mail° ❑ Priority Mail Express" <br /> change the insurance coverage automatically ■To ensure that your Certified Mail receipt is <br /> included with certain Priority Mail items accepted as legal proof of mailing,it should ❑ Registered ❑Return Receipt for Merchandis, <br /> ■For an additional fee,you may request the bear a USPS postmark.If you would like a _ ❑ Insured Mail ❑Collect on Delivery <br /> following services: postmark on this Certified Mad receipt,please <br /> -Return receipt service,which provides you present your Certified Mail item at a Post 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> with a record of delivery(including the Office"for postmarking If you don't need a <br /> recipient's signature).You can request a postmark on this Certified Mail receipt,detach 2. Article Number <br /> hardcopy return receipt or an electronic the barcoded portion of this label,affix it to the 7014 212 Q 0001 7 8 6 9 7704 <br /> version.FoP�rrSa hhaqaryydcopy return receipt, mailpiece,apply appropriate postage,and (Transfer from Service label) <br /> Re� Cl.1f89 Do sulftur �te( tjf�,+ <br /> L 1koo save this receipt for your records. PS Form 3811,July 2013 Domestic Return Receipt <br /> Ps Form 3800,July 2014(Reverse)PSN 7530-02-000-9047 <br /> U.S. Postal Service'm <br /> P RECEIPT <br /> CERTIFIED MAIL <br /> Domestic <br /> r� <br /> UNITED STATES POSTAL SERVICE Q' 0 PL L <br /> First-Class Mail -a <br /> Postage&Fees Paid Postage: $0.460 <br /> LISPSr` Certified Fee: W.70 , $3.360 <br /> Permit No.G-to a Return Receiptc� e: $2.750 park <br /> o �y e <br /> • Sender: Please print your name, address, and ZIP+4®in this box* E3 ( 0 -,- <br /> Total Postage and Fes: $6.570 <br /> o -,- <br /> ru <br /> State of Colorado ti Total Postage&Fees <br /> Department of Natural Resources = entTo <br /> Division of Reclamation, Mining&Safety C3b`treei&ffpt.No Mr. Daniel M. Russell ------------------- <br /> 1313 Sherman Street, Suite 215 r orP°Box <br /> -No. <br /> 9042 S. 106 Road ---------------- <br /> City State,ZIP+ <br /> Denver, CO 80203 Alamosa, CO 81101 <br /> ;t PW Spec may' <br /> File ✓�t��ts� � <br /> Ilip!!I <br />