Laserfiche WebLink
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3. A. Signature <br /> ■ Print your name and address on the reverse X _ ❑Agent <br /> so that we can return the card to you. ❑Addresse <br /> ■ Attach this card to the back of the mailpiece, R eiv by(Print Narge) Date of Deliver <br /> or on the front If space permits. . '� <br /> 1. Article Addressed to Is delivery address different from Item 1? ❑Yes <br /> If YES,enter delivery address below: ❑ No <br /> :`tf street <br /> r s v -i rlI { _0 5 1 :;l <br /> JI- <br /> 111, 3. Service Type EI Priority Mall Express© <br /> I ❑Adult Signature ❑Registered Mail- <br /> 1! .I i,( !� I Ili�I)!! I I ❑Adult S gnature Restricted Delivery ❑Registered Mall Restric <br /> 9590 9402 ?488 i 27 Certified MailrD Delivery <br /> 5 7599 40 ❑Certified Mail Restricted Delivery El Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery 0 Signature Confirmation <br /> ❑Insured Mail ❑Signature Confirmation <br /> 7016 2 710 0000 2965 3847 ❑Insured 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: <br /> ■A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail <br /> ■A unique identifier for your mailpiece. associate for assistance.To receive a duplicate U.S. Postal %rvice <br /> is Electronic verificati ""Twvdtempted_-, return receipt for no additional fee,present this . RECEIPT <br /> delive USPS®-postmarked Certified Mail receipt to the 7- <br /> ■A r ry o�d��v�y nclu fe retail associate. <br /> nature)tlldtA's Doniestic Mail Only <br /> In �—Restricted delivery service,which provides � <br /> r a specified perwd. n^ delivery to the addressee specified by name,or T <br /> .4v Vg� to the 2d�ressee's authorized agent <br /> IMP antRRi&A-' i _.—.-A(tygnaUreservice,whichrequiresthe Lr <br /> ■You ma chase.Serbfied Mail service with signee to be at least 21 years of age(not --D <br /> First-Class Mai , -Class Package Service®, availablef retail). <br /> or Priority Mail®service. '"—^ -- •signature restricted delivery service,which 2.1 to 3.0 oz. Postage •89 l <br /> ■Certified Mail service Is no a ail 1 gg55 1 requires the signee to be at least 21 years of age <br /> intemationalmad. �j11Z to and provides delivery to the addressee specified o Certified Fee: 43.45_ <br /> ■Insurance coverage is notaCailable for purchase by name,or to the addressee's authorized agent Return Receipt Fee: 91� <br /> with Certified Mail service.However,the purchase (not available at retail). $ �' <br /> of Certified Mail service does not change the ■To ensure that your Certified Mail receipt is t7 ; <br /> insurance coverage automatically included with accepted as legal proof of mailing,it should bear a Total Postage & Fees: C7n� <br /> certain Priority Mail items. USPS postmark.If you would like a postmark on g 049L <br /> ■For an additional fee,and with a proper this Certified Mail receipt,please present your R , <br /> endorsement on the mailpiece,you may request Certified Mail item at a Post Office'for the following services: postmarking.If you don't need a postmark on this rLi Tct,l Postiq� nod---s <br /> -Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion g <br /> of delivery(including the recipient's signature), of this label,affix it to the mailpiece,apply D <br /> You can request a hardcopy retum receipt or an appropriate postage,and deposit the mailpiece. a Alan Parkerson <br /> electronic version.For a ha .rdcopy return rege p O _ <br /> completeP9F$ 0113c /11®N5�. oom 215,Denver,CO 80203 Parkerson Brothers LLC <br /> Receipt;attach PS Form 3811 to your mailpiece; IMPORTANT:Save this receipt for your records. 710 S. 1 5th St <br /> Ps Form 3800,April 2015(Reverse)PSN 7530-02-OW-9047 <br /> Grand Junction, CO 81501 <br /> USPS TRACKING# L= <br /> c First lass Maw" <br /> Postage&Fees Paid <br /> 9590 9402 3488 7275 7599 40 <br /> United States ■Sender:Please print your name,address,and ZIP+4®in this box* <br /> Postal Service State of Colorado <br /> Department of Natural Resources <br /> Division of Reclamation,Mining&Safety <br /> 1313 Sherman Street, Room 215 <br /> Denver,CO 80203 SpecAty <br /> File M O`x7 <br />