2018-05-07_REVISION - C1981020 ‎(4)‎

• Permit No: C1981020
• IBM Index Class Name: Revision
• Doc Date: 5/7/2018
• Doc Name Note: Inspection Notification
• Doc Name: Certified Mail Receipt
• From: Josephine Headman
• To: DRMS
• Type & Sequence: SL3
• Email Name: CCW
• Media Type: D
• Archive: No

N.
ULK I IFIED MAID"' RECEIPT
Domestic Mail Only
r
For delivery informatinn_ visit
Irl
0.1 to 1.0 oz. Postage /f
Er Certi Certified Fee: 4
n' ki
eitr, Return Receipt Fee:
o ❑1 �pf ;
0 El
o ❑ Total Postage & Fees:
O �O ,
� ti�i 4 7
O Postage
N $
11.1 Total Postage and Fees
Josephine L. Headman
22163 Captains way
( Palo Cedro, CA 96073 ---------------------------
Certified Mail service provides the following benefits:
■ A receipt (this portion of the Certified Mail label).
for an electronic return receipt, see a retail
■ A unique identifier for— --°-°-
r" ' ' 'stance. To receive a duplicate
■ Electronic vadficatiol no additional fee, present this
delivery. S C. C A 981-020 ' A Certified Mail receipt to the
■ A record of livery
signature)�i. isrg SL -3
'service, which provides
for a spec &' Iressee specified by name, or
Insp Notification authorized agent.
Important Rem/ndel
vice, which requires the
■ You may purchase Ce CCW
it 21 years of age (not
First -Class Mail®, Fir.
,na,iaoie at retaiq.
or Priority Mail® service.
Adult signature restricted delivery service, which
■ Certified Mail service is not available for
requires the signee to be at least 21 years of agi
international mail.
and provides delivery to the addressee specified
■ Insurance coverage is notavailable for purchase
by name, or to the addressee's authorized agent
with Certified Mail service. However, the purchase
(not available at retai).
of Certified Mail service does not change the
■ To ensure that your Certified Mail receipt is
Dinsurance
E
coverage automatically included with
certain Priority Mail items.
accepted as legal proof of mailing, It should bear a
USPS postmark. If you would like a postmark on
G
RECEN
■ For an additional fee, and with a proper
this Certified Mail recelpt, please present your
endorsement on the mailpiece, you may request
Certified Mail hem at a Post Office` for
-7
the following services:
- Return receipt service, which provides a record
postmarking. if you don't need a postmark on this
Certified Mail receipt, detach the barcoded portion
NAB
MAY O
of delivery pncluding the recipient's signature).
of this label, affor it to the mailpiece, apply
You can request a hardcopy return receipt or an
appropriate postage, and deposit the mallpfece.
COQW, 94MV porn
215, Denver, CO 80203
of Reclamation,
pivision Safety
Receipt attach PS Form 3811 to you mailpiece;
pNPOKUP Save this racelpt for your records.
M611 g,
PS Form :3800, Apd12015 (Reverse) PSN 7530-02.000 9047
N.
ULK I IFIED MAID"' RECEIPT
Domestic Mail Only
r
For delivery informatinn_ visit
Irl
0.1 to 1.0 oz. Postage /f
Er Certi Certified Fee: 4
n' ki
eitr, Return Receipt Fee:
o ❑1 �pf ;
0 El
o ❑ Total Postage & Fees:
O �O ,
� ti�i 4 7
O Postage
N $
11.1 Total Postage and Fees
Josephine L. Headman
22163 Captains way
( Palo Cedro, CA 96073 ---------------------------