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1 SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> IN Complete items 1,2,and 3. A. Signature <br /> ■ Print your name and address on the reverse X i' t ❑Agent <br /> so that we can return the card to you. ❑Addresse <br /> eceivedy(Printed Name) C. Date of Deliver <br /> ■ Attach this card to the back of the mailpiece, B. R` , <br /> or on the front if space permits. t- ' S <br /> 1. Article Addressed to; D. Is delivery address different from item 1? ❑Yes <br /> If YES,enter delivery address below: ❑ No <br /> Nir.Michael Coleman <br /> ACA Products,Inc. <br /> P O Box 1887 <br /> Buena Vista.CO 81211 <br /> 111 111 i 3. Service Type ❑Priority Mail Express(D <br /> ❑Adult Signature ❑Registered Mail- <br /> 0 Adult Signature Restricted Delivery ❑Registered Mad Restric <br /> ETCertified Made; Delivery <br /> 9590 9.102 3-188 72 r 5 7581 10 ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery ❑Signature Confirmation <br /> ❑Insured Mad ❑Signature Confirmation <br /> Q 2710 (]�J 2965 4[] ❑ nsured Mad Restricted Delivery Restricted Delivery <br /> (over$500) <br /> PS Form 3811,JUly 2015 PSN 7530-02-000-9053 Domestic Return Receir <br /> Certified Mail service provides the following benefits: U.S. Postal Service <br /> ■A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail CERTIFIED MAILP RECEIPT <br /> ■A unique identifier fo1,your madpwce, associate for assistance.To receive a duplicate r; <br /> nly <br /> ■Electronic atron of dells return receipt for no additional fee,present this rti ' • <br /> delve �tY ot�Ttlempte USPS®-postmarked Certified Mad receipt to the p <br /> � - /1+ ` ,.`,� `""� a i)assoctate. � .,, _• _ <br /> A rive l y(I�I�IIdIQg-tl�rY..pl.Fit•'$�----- .�L�i -I e .it-L <br /> Sig ature)that rs retained by the Postal Service" R tncted delivery service,which provides S 3.4 5 <br /> for sp l d p od. cl every to the addressee specified by name,or ;r, Certified Fee: <br /> ate.# I `i--,1u1J the addressee's authorized agent. - Return Receipt Fee: $2.75 <br /> lmpo emmdel ,�v Adult signature service,which requires the <br /> ■You may pur g_d Mail service, -'' signee to be at least 21 years of age(not Mu <br /> Rrst-Class Mad®,First-Class ackageService®, available at retail). Total Postage & Fees: $6.67 <br /> or Priority Mail®service Adult signature restricted delivery service,which ZD <br /> ■Certified Mad service is not available for requires the signee to be at least 21 years of age M <br /> international mad. j1W and provides delivery to the addressee specified M S n 47 <br /> ■Insurance coverage is notava fable for purchase by name,or to the addressee's authorized agent CD I t^ 1 n e--� P c t a n a <br /> with Certified Mad service.However,the purchase (not available at retail). - <br /> of Certified Mad service does not change the ■To ensure that your Certified Mad receipt is <br /> insurance coverage automatically included with accepted as legal proof of mailing,it should bear a <br /> certain Pnonty Mail items. USPS postmark If you would like a postmark on f—T;;�1 P r_,a 3 „,1 <br /> ■For an additional fee,and with a proper this Certified Mail receipt,please present your fU <br /> endorsement on the mailpiece,you may request Certified Mad item at a Post Office-for 5 <br /> the following services: postmarking.If you don't need a postmark on this -B <br /> -Return receipt service,which provides a record Certified Mad receipt,detach the barcoded portion ? ytr. IVtichaei Coleman <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. r AC A Products.Inc. <br /> electron <br /> coin letUR1 Fo � ceipt Roam 215,Denver,COP O Box 1887 <br /> p return re <br /> Receipt, , <br /> attach PS Form 3811 to your mailpiece; IMPORTANE Save this receipt for your records. Buena Vista,(:O 8 1211 <br /> PS Form 3800,April 2015(Reverse)PSN 7530-02-000-9047 - <br /> USPS TRACING# <br /> r i r f i t 1 !I(llllr fr f t r� -Class ail`, <br /> ostage&Fe id <br /> USZnS_t�oN�` <br /> 9590 9402 3488 7275 7581 10 <br /> in <br /> N 1_S <br /> United States •Sender:Please print your name,address,and ZIP+4®in this box* <br /> Postal Service <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 SpecOPI e- <br /> ��� <br />