Laserfiche WebLink
COMPLETESENDER: COMPLETE THIS SECTION � <br /> ■ Complete items 1,2,and 3.Also complete A. nature <br /> item 4 if Restricted Delivery is desired. / ❑Agent <br /> ■ Print your name and address on the reverse XT t_ 1. ❑Address, <br /> so that we can return the card to you. �?eceived b�diff <br /> C Data of Celive <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front if space permits. 7v`1 Article Addressed to: D. Is delivery arom Item 19 ❑ Yes <br /> If YES,enter delivery address below ❑ No <br /> TT­ <br /> Ale 3 Service Type <br /> ertified Mad- ❑ Priority Mail Express" <br /> v ( ❑ Registered ❑ Return Receipt for Merchande <br /> ❑ Insured Mail ❑ Collect on Del,very <br /> 4 Restricted Deliveryv(Extra Feel ❑ Yes <br /> 2 Article Number <br /> (Trans`er from service label) 7 016 2140 0000 2345 8 315 <br /> PS Form 3811, July 2013 Domestic Return Receipt <br /> Postal <br /> Certified Mail service provides the following benefits: CERTIFIED MAIL@ RECEIPT <br /> ■A receipt(this portion of the Certified Mail label), for an electronic return receipt,see a retail tr) <br /> ■A unique identifier for your mailpiece. associate for assistance.To receive a duplicate Domestic <br /> ■Electronic verficaorr"livery or attempted return receipt for no additional fee,present this fr 1 <br /> delivery. FF`''�" rrsasal-nnstmarked Certified Mad receipt to the <br /> ■A record of delive (including the recipient's retail associate. <br /> signature)that is led the Postal Service- Restricted delivery service,which provides Ln <br /> fora specified peso. delivery to the addressee specified by name,or 1.1 to 2.0 oz. Postage $0.6 8- <br /> to the addressee's authorized agent <br /> Important Reminders: Adult signature service,which requires the ru Certified Fee: S3.4f <br /> ■You may purchase Certified Mail service with signee to be at least 21 years of age(not Return Receipt Fee: S23! <br /> First-Class Mail®,First-Class Package Service®, available at retail). a <br /> or Priority Mail®service. Adult signature restricted delivery service,which C7 <br /> ■Certified Mad service is not available for requires the signee to be at least 21 years of age T ota I P o sta e & Fees: <br /> international mail. and provides delivery to the addressee specified g S 6.8 i? <br /> ■Insurance coverage is notavailable for purchase by name,or to the addressee's authorized agent <br /> 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 <br /> insurance coverage automatically included with accepted as legal proof of mailing,d should bear a a - __ _— <br /> certain Pnon Mad items. otaI Postage and Fees <br /> ry USPS postmark If you would like a postmark on <br /> •For an additional fee,and with a proper this Certified Mad receipt,please present your $ <br /> endorsement on the mailpiece,you may request Certified Mad item at a Post Office"for G '_rt T_ <br /> ----------the following services: postmarking.If you don't need a postmark on this <br /> -Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion - .-. <br /> otdeli angig <br /> ie 's si natu_rg),__pf th' t0dpiece. s l APr u r <br /> electroni i r rdco return c' pT} C'v 3' e,Zld y <br /> complete�t� "i (Room 215 7d1 l <br /> Receipt;attach PS Form tq v u[N311PILWO JNIYRTARA 11"this receipt for your records. <br /> PS Form 3800,Apra 2015(ovei f)1PVSe7630-02.��47 V L V <br /> UNITED STATES P�RVICE First-Class Mail <br /> Postage&Fees Paid <br /> USPS <br /> Permit No.G-10 <br /> • Sender: Please print your name, address, and ZIP+4®in this box• <br /> State of Colorado <br /> Department of Natural Resources <br /> Division of Reclamation,Mining&Safety <br /> G/lt.i�nera�a Jso�arn. <br /> 1313 Sherman Street,Room 215 /'C <br /> Denver,CO 80203 Spec G� <br /> Pile mYaQ'6 <br /> 3—:cs <br />