2018-08-28_GENERAL DOCUMENTS - M1989092 (2)

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COMPLETE SECTIONCOMPLETE THIS SECTIONON DELIVERY ■ Complete items 1,2,and 3. A,-Sitggadure ■ Print your name and address on the reverse X y ❑Agent so that we can return the card to you. zr� {�' ❑Addresse ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. Date of Deliver or on the front if space permits. 1. Article Addressed to: --------- D, Is delivery address different from item 1? ❑ Yes If YES,enter delivery address below; ❑ No David and Stephanie Curtis Oaklands Ranch 1613 N. Perry Park Road Sedalia, CO 80135 3. Service Type ❑Priority Mail Express© j ❑Adult Signature 11 Registered Mad- I I,;�.' ('I' I� I il, l I� I I I�! i ❑Adult Signature Restricted Delivery ❑Registered Mail Restnc [certified Maii(D Delivery 9590 9402 2_488 72 i 5 7597 11 �Certified Mail Restricted Delivery 0 Return Receipt for ❑Collect on Delivery Merchandise 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery El Signature Confirmation ❑Insured Mail ❑Signature Confirmation 7016 2710 0000 2 9 6 5 4189 ❑Insured Mail Restricted Delivery Restricted Delivery (over$500) PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receir Posted Certified Mail service provides the following benefits: RECEIPT ■A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail D- ■A unique identifier for _-- associate for assistance.To receive a duplicate co VonieWic Mail Only ■Eiectrenic ire'' deli �r empted return receipt for no additional fee,present this delivery. �� TIhdd d'CertihedMailreceipttothe �A recor of delivery(including the recipient's ate.signatu )th ii stayed by�p�s�I�ni elivery service,which providesfor a sp ie lrodTrZe addressee specified by name,or ssee's authorized agent. D Important Re �v Y I L �iqure service,which requires the ^j■You ma urchase Cerh1 9 P at least 21 years of age(notFirst-Class Mad®,First-Class Package Service®, _ available at retail). or Priority Mad®service. -Adult signature restricted delivery service,which ■Certified Mail service is notavailable for requires the signee to be at least 21 years of age international mail. and provides delivery to the addressee specified E ■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 retail). of Certified Mail service does not change the ■To ensure that your Certified Mail receipt is i insurance coverage automatically included with accepted as legal proof of mailing,it should bear a certain Priority Mail items USPS postmark If you would like a postmark on n, T- '''P"fit,r'�:•, ■For an additional fee,and with a proper this Certified Mail receipt,please present your $ i endorsement on the mailpiece,you may request Certified Mad item at a Post Office'"for L David and Stephanie Curtis the following services: postmarking.If you don't need a postmark on this a Retum receipt service,which provides a record Certified Mad receipt,detach the barcoded portion u Oaklands Ranch of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply You can r ar co y return receipt or an appropriajepSstage,and deposit the mail iece. 1�j 13 �i. Pe1T�/ Park Road electronic T�1�letlg4 ek Room 1'10 penver,CO 801103 complete PS Form 3811,Domestic Return Sedalia, CO 80135 Receipt attach PS Form 3811 to your mailpiece; IMPORTANT:Save this receipt for your records. PS Form 3800,April 2075(Reverse)PSN 7530-02-000-9047 USPS TRACKING# First-Class,Iv%th-=••-w Postage&rem USPS A' Permit No.C;: ' 9590 9402 3488 7275 7597 11 United States •Sender:Please print your name,address,and ZIP+4®in this box* Postal Service State of Colorado Department of Natural Resources Division of Reclamation,Mining&Safety 1313 Sherman Street, Room 215 Denver,CO 80203 Sped_I{ _ File Vl'f 44Vo�