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I • • <br /> • •MpLETE THIS • • <br /> ■ Complete items 1,2,and 3.Also complete tnu item 4 if Restricted Delivery Is desired ❑Agent <br /> ■ Print your name and address on the reverse 0 ❑AddressE <br /> so that vve can return the card to you. (Print e) C. D to of qe1wei <br /> ■ Attach this card to the back of the mailpiece, I <br /> or on the front if space permits <br /> D Is delivery address different from item 1? ❑ Yes <br /> 1 Article Address,-d to. If YES enter delivery address belo.: ❑ No <br /> John P.Ary <br /> Fremont Paving & Redi-Mix. Inc. <br /> 839 MacKenzie Avenue 3. Se ice Type <br /> Canon City-. CO 81212 Zertrfied Mail, ❑ Priority Mail Express'" <br /> ❑ Registered ❑ Return Receipt for Merchant is <br /> ❑ Insured^Mail ❑ Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2 Article Numuer <br /> (Transfer from service label) 7016 2710 0000 2 9 6 S 0488 <br /> PS Form 3811,July 2013 Domestic Return Receiptiii�l L3 <br /> Postal <br /> Certified N61 service <br /> provides the owing benefits: <br /> ■A receipt(this plUhe Ceittfle Mall label).�(�fof•rrele onic return receipt,see a retail • • <br /> ■A unique identiCERTIFIED MAIV RECEIPT <br /> fier your T receive a duplicate <br /> ■Electronic venly <br /> rificflyp(r of#!very or attempted return racL­ZZ9nal r fee,present this <br /> delivery. File# �11 rjy USPS®-prkedCertifiedMailreceipttothe <br /> ■A record of delivery(including i�pien^ <br /> signature)that is retained by the Postal Servi e" Restri delivery service,which provides <br /> for a specified)tenod. d rytotheaddresseespecifiedbyname,or j� 0,� t0 �.0 oz. Postage 5U.4f <br /> otheaddressee'sauthorrzedagent Certified Fee: 53.4E <br /> ImportantRemffi'em- — Adult signature service,which requires the <br /> ■You may purchase Certified Mail service with signee to be at least 21 years of age(not `t' Return Receipt Fee: S2.7, <br /> First-Class Mail®,First-Class Package Service®, available at retail). <br /> or Priority MaII®service. -Adult signature restricted delivery service,which <br /> Is Certified Mail service is notavallable for requires the signee to be at least 21 years of age o Total Postage & Fees: <br /> IsS 6.6, <br /> international mail, and provides deliveryto the addressee specified Q <br /> Insurance coverage is notavallable 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,it should bear a <br /> certain Priority Mail items. r- I-rofai <br /> USPS postmark.If you would like a postmark on f71 <br /> ■For an additional fee,and with a proper this Certified Mail receipt,please present your s <br /> endorsement on the mailpiece,you may request Certified Mad item at a Post Office"'for = <br /> the following services: postmarking.If you don't need a postmark on this n John P An <br /> -Returnreceiptservice,whichprovidesarecord Certified Mail receipt,detach thebarcodedporton � Fremont Paving &. Rcdi-Mlx- Inc. <br /> of delivery(including the recipient's signature), of this label,affix it to the mailpiece,apply ' , <br /> You can request a harden return receipt or an - 8,9 MacKenzie Avenue <br /> q PY P appropriate postage,and deposit the madpiece. <br /> electronic version.For a hardcopy return receipt, ; >',_, -' <br /> complete PS Form 3811,Domestic Return C ailo n CAN- CO <br /> O 8 1212 <br /> 12 <br /> Recer t attach PS Form 3811 to your madpiece; IMPORTAW11.Save this receipt for your records. <br /> PS�� pd, Shel % 1,215, Denver,CO 80203 <br /> Ski , ,,Shh e <br /> UNITED STATES P&W§&ICE 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 /> 1313 Sherman Street, Room 215 <br /> Denver,CO 80203 Spec C R& <br /> File.XZ�W Vyl <br /> �3 <br /> nlllll'llfl�,i„I�Ilr,li�llirjir�ril�,i,rtl,i,l�,lllilrlirll'li� <br />