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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION C(e DELIVERY
<br /> Z • Complete items 1,2,and 3.
<br /> ■ Printyour name and address on the reverse 0 Agent
<br /> �r:that we can return the card to -_ _ . '
<br /> ) �`: ` 0 Addresser
<br /> Certified Mail service provides the following benefits: rB. Received by(P ' =d NameV C. Date of Deliver)
<br /> •A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail t ■ Attach this card to the back of the mailpiece,
<br /> •A unique identifier for your mailpiece. associate for assistance To receive a duplicate 1,, or on the front if space permits.
<br /> •Electronic verification of delivery or attempted return receipt for no additional fee,present this _
<br /> delivery. USPS®-postmarked Certified Mail receipt to the 1. Article Addressed to: D. Is delivery a.•ress di,e=,•�c. item 1? 0 Yes
<br /> •A record of" retail associate. If YES,enter;-' ad. below: 0 No
<br /> signature) M-1985-008 My-2017-051 fiery service,which provides John Ary
<br /> for a specs Nov Letter delivery to the addressee specified by name,or Hard Rock Paving and Redl-Mix,Inc.
<br /> ECS WI-IE AJW to the addressee's authorized agent 839 Mackenzie Ave
<br /> Important I �rzs2rwce,which requires the Carton City,CO 81215
<br /> •You may purchase Lemma mau service woo signee to be at least 21 years of age(not _ . _.
<br /> First-Class Mall®,First-Class Package Service', available at retail).
<br /> or Priority Mail®service. -Adult signature restricted delivery service,which
<br /> •Certified Mail service Is notavadable for requires the signee to be at least 21 years of age
<br /> international mail. and provides delivery to the addressee specified
<br /> •Insurance coverage is notavadable for purchase by name,or to the addressee's authorized agent 3. Service Type ❑Pnority Mail Express®
<br /> with Certified Mail service However,the purchase (not available at retail). 0 Adult Signature 0 Registered MailT.
<br /> of Certified Mail service does not change the •To ensure that your Certified Mail receipt is 0 Adult Signature Restricted Delivery 0 Registered Mail Restrict(
<br /> insurance coverage automatically included with accepted as legal proof of mailing,it should bear a ❑Certified Mail® Delivery
<br /> certain Priority Mail items. ❑Certified Mall Restricted Delivery 0 Return Receipt for
<br /> USPS postmark.If you would like a postmark on ❑Collect on Delivery Merchandise
<br /> •For an additional fee,and with a proper this Certified Mail receipt,please present your ��;' ^1.1......1.......rr�cr.f. ,neR 1.1-1.>11 ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationT'
<br /> endorsement the
<br /> ollise the mailpiece,you may request Certified Mail item t a Post a Office-form 7 016 2 7 10 0 0 0 0 2 9 0 4 7110 /rail ❑Signature Confirmation
<br /> te following services postmarking.If you don't need postmark on this I.?�l1ail Restricted Delivery Restricted Delivery
<br /> -Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion I tuver 4U0)
<br /> of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply
<br /> You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece. , PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt
<br /> electronic version.For a hardcopy return receipt, T ___ e—
<br /> nom ` � t,Room 215 Denver,CO 80203
<br /> Recet c P rm o your mai piece; IMPORTANT:Save this receipt for your records. U.S.S Form 3800,Apnl 2015(Reverse)PSN 7530-02-000-9047 Postal Service".
<br /> U
<br /> CERTIFIED MAIL° RECEIPT
<br /> p Domestic Mail Only
<br /> 11-1
<br /> ,--1 For delivery information,visit our website at www.usps.com".
<br /> N 1 A ,r.
<br /> • - Certified Mail Fee
<br /> Cl
<br /> First-Class Mail rruu EI postage: x$04 io+y
<br /> Postage&Fees Paid ,$:: :3.5.0---ark.
<br /> � arks°"qtr`
<br /> USPS o 1 Certified Fee: 2 750 ,
<br /> Permit No.G-10 0 [ Return Receipt Fee: NOV 1 3 i �,
<br /> t n
<br /> Pr J
<br /> o Total Postage and Fees: $'x;56
<br /> rR $ "�- - 4�
<br /> r- Total Postage and Fees x.'217 t0
<br /> United States I •Sender:Please print your name,address,and ZIP+4®in this box I ru $ - ,
<br /> Postal Service Sent To John Ary
<br /> State of Colorado
<br /> Hard Rock Paving and Redi Mix,inc.
<br /> Department of Natural Resources o Streetanc 839 Mackenzie Ave
<br /> N Canon City,CO 81215 Ciry Mate,
<br /> Division of Reclamation, Mining& Safety
<br /> 1313 Sherman Street, Suite 215
<br /> Denver, CO 80203 M-1985-008 ette2017-051
<br /> NOVECS WI-IE AJW
<br /> "11111011 IlinIIIIIIPilli),,IIIIIir,llliillillli„i,lllilin
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