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SENDER: COMPLETE <br /> ■ Complete items 1,2,and 3. A. ignat 1) _ <br /> El Agent <br /> � /� <br /> i �� <br /> ■ Print your name and address on the reverse (•�, ddresse <br /> so that we can return the card to you. <br /> �ceived b to Name) ate, f Del' of <br /> ■ Attach this card to the back of the mailpiece, 17 <br /> or on the front if space permits. _ <br /> 1. Article Addressed to <br /> D. Is delivery ddress different fir Item 1? Yes <br /> If YES,enter delivery addres below: MNo <br /> Mr.Jerry Ritchey <br /> Ritchev's Redi-Mix Concrete. Inc. <br /> 509 S. Idlewild St. <br /> Yuma.CO 80759 <br /> 3. Service Type 0 Priority Mail Expresso <br /> I i I' ❑Adult Signature ❑Registered Mail— <br /> li'','' ❑Adult Signature Restricted Delivery ❑Registered Mail Restrict <br /> 1 IR Certified MailO Delivery <br /> 9590 9-402 3488 i 2 5 7580 66 ❑Certified Mail Restricted Delivery 0 Return <br /> Rese <br /> ❑ iptfor <br /> ElCollect on Delivery ❑SignatMerchandise <br /> Confirmation' <br /> Collect on Delivery Restricted Delivery ❑Signature Confirmation <br /> 2. Article Number(Transfer from service label) ❑Insured Mail <br /> 7016 2710 0000 2904 6557 ❑Insured Mad Restricted Delivery Restricted Delivery <br /> (over$500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receip <br /> Postal <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 CERTIFIED MAILM RECEIPT <br /> ■A unique i or your mailpiece. associate for assistance.To receive a duplicate D oMeSHC , <br /> WY <br /> ■Electr ve'cation of de1Njor ptW_,,', return receipt for no additional fee,present this <br /> it live gpee, I- - USPSCP-postmarked Certified Mail receipt to the <br /> ■A recor of delivery(including the recipient's _n <br /> Sig <br /> nature th re ed by the Postal Service'" Rest ed delivery service,which provides � <br /> for a spec delivdry to the addressee specified by name,or - __ _ T ------ --— <br /> tnlpOrtantRem r K t 0' �authorized agent - f <br /> x,lAult signature service,which requires the j <br /> ■You may purchase Corte signee to be at least 21 years of age(not T <br /> First-Class Mail®,Rrst-Class Package Service®, available at retail) 1 1 <br /> or Priority Mail®service. Adult signature restricted delivery service,which s <br /> ■Certified Mad service is nofavadable for requires the signee to be at least 21 years of age O - <br /> international mail. and provides delivery to the addressee specified = rM1 <br /> ■Insurance coverage is notavallable for purchase by name,or to the addressee's authorized agent Q <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 - <br /> insurance coverage automatically included with accepted as legal proof of mailing,it should bear a <br /> certain Priority Mail items. USPS postmark.If you would like a postmark on - <br /> ■For an additional fee,and with a proper this Certified Mad receiptf- r,c•,i Pc 5'-a9°�� Fes <br /> please present your <br /> endorsement on the mailpiece,you may request Certified Mail item at a Post Office-for fU S ✓� <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 a [[ Jerry' R1tC11eV <br /> of delivery(including the recipient's signature). of this label,affix it to the mad ie I V[1x Concrete-Inc, <br /> e y.Fa�slAW rot cgrptoly ripi'9lia� �ipiece. o Rltche�Idlewld St. <br /> complete PS Form 3811,Domestic Retum f~ = '-'' 509 S 07;9 <br /> Receipt;attach PS Form 3811 to your mailpiece; IMPORTANT.Save this receipt for your records. ■ �f liTTld.CO 8 ^�,y� 'rgv!r'P <br /> Ps Form 3800,Apni 2015(Reverse)PSN 7530-02-000-9047 yI �• � "tea+ <br /> USPS TRACKNG# <br /> First-Class Mail <br /> Postage&Fees Paid <br /> USPS <br /> Permit No.G-10 <br /> 9590 9402 3468 7275 7580 66 <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 Spec <br /> File vhzut�w <br /> rij►r;Iil,,ill,'I!r'!r!!!1'1►!!►lIli'I!'!�lIIlf'il�l1lj'!1lllll+! <br />