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SENDER:COMPLETE THIS SECTION COMPLETE TWS SECTION ON DE-LIVERY ■ A. Signat Complete items 1,2,and 3. �— ■ Print your name and address on the reverse X ( ❑Agent so that we can return the card to you. 4 ❑Addresse. ■ Attach this card to the back of the mailpiece, B. ecreived TP id(va{mj C. Da of Deliver or on the front if space permits. 1. Article Addressed to: D. Is delivery address different from item 1? ID Yes If YES,enter delivery address below: ❑ No Michael J. Russell Hoskin Farina Kampf Professional Corporation 200 Grand Avenue. Suite 400 Grand Junction,CO 81502 f 3. Service Type ❑Priority Mail ErpressC ❑Adult Signature ElRegistered Mail- El i ! iAdult Signature Restricted Delivery ❑Registered Mao Restrict Cerb ed Mail® Delivery 9590 9402 3488 /2 r 5 543 27 ❑Certifi:ed Mad Restricted Delivery ❑Return Receipt for ❑Collect on Delivery Merchandise 2. Article Number(Transfer from service label) D Collect on Delivery Restricted Delivery 11 Signature Confirmation` ❑Insured Mail ❑Signature Confirmation 7 0 1 6 2?10 0000 2965 3861 ❑Insured Mad Restricted Delivery Restricted Delivery (over$500) PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receip Certified Mail service provides the following benefits: U.S. Postal Service ■A receipt(this portion of the Certified Mali label. for an electronic return receipt,see a retailCERTIFIED MAIL40 RECEIPT ■A unique identifier for your mad `—associate for assistance.To receive a duplicate ■Electronic verification of d ry or attempted rettirn receipt for no additional fee,present this s' delivery. J, 5 USP -postmarked Certified Mail receipt to the � � — - re.a ate.- r ■A record of delivery(including the recipient's signature)that i fi�ned�y th ostal Service- ` -;Ess�ignature elivery service,which provides � for a specdiede Mbdlt {F ��f u7e addressee specified by name,or s authorized agent n y Important Reminders: Certified Fee: �Jfl -!'►LL service,which requires the S 3.41 ■You may purchase Cerhfied all service with /signeetobeat least 21 years of age(not 'Lj Return Receipt Fee: First-Class Mail',First-Class a Servi , available at retail). $2.7.r or Priority Mail'service Adult signature restricted delivery service,which II ■Certified Mail service is not available for requires the signee to be at least 21 years of age o Total Postage & Fees international mail. and provides delivery to the addressee specified rJ 6.6 i ■Insurance coverage is notavailable for purchase by name,or to the addressee's authorized agent C with Certified Mail service.However,the purchase (not available at retail). of Certified Mad service does not change the - �,' D r To ensure that your Certified Mail receipt is � G n n- insurance coverage automatically included with accepted as legal proof of mailing,it should bear a certain Priority Mad items. USPS postmark If you would like a postmark on T s ■For an additional fee,and with a proper this Certified Mail receipt,please present your endorsement on the mailpiece,you may request Cerbfied Mail item at a Post Office-for � S the following services: postmarking If you don't need a postmark on this -Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply Michael J. Russell You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece. '" Hoskin Fanna Kamp[Professional Corporatii elecomplete RFDiiiS`3819`f/o1fre3RiCWffi8t Room 215,Denver,CCU 80203 200 Grand Avenue. Suite 400 Receipt,attach PS Form 3811 to your mailpiece; IMPOKAtll:Save this receipt for your records Grand Junction.CO 81 502 , PS Form 3800,April 2015(Reverse)PSN 7530-02-000-9047 i - la e Icl CI I I lilt I 1i M1 A 9590 9402 3488 7275 7543 27 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 Spec 5(� %►� File 1HA Illfllili1111131}�ll3i[il�Fi�T3i�lii�lil�iji1111�31{i�llll!liF�I�