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
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