|
SECTIONSENDER: COMPLETE THIS SECTION COMPLETE THIS 1'ON DELIVERY
<br /> ■ Complete items 1,2,and 3. A. Signat e — — 7
<br /> ■ Print your name and address on the reverse r_,r ❑Agent
<br /> so that we can return the card to you. % ❑AddressE
<br /> ■ Attach this card to the back of the mailpiece, B."?eceived by(PrintectName� C. Date of Deliver.- - ,or on the front if space permits.
<br /> 1. Article Addressed to D. Is delivery address different from item 1? ❑ Yes
<br /> If YES,enter delivery address below: ❑ No
<br /> Alan Parkerson
<br /> Parkerson Brothers LLC
<br /> 710 S. 15th St
<br /> Grand Junction, CO 81501
<br /> 3, Service Type ❑Prionty Mal ExpressS
<br /> I'I'II�i(') i'�I I 'I I „I I III I II I,I ❑Adult Signature ❑Registered MadT^'
<br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restnc
<br /> ❑Certified MadC� Delivery
<br /> 9590 9402 3188 2%5 '54 2 72 ❑Certified Mail Restricted Delivery ❑Return Receipt for
<br /> ❑Collect on Delivery Merchandise
<br /> A.r 1,ni, ..,k,,,rr--f,r— r,r,on C Collect on Delivery Restricted Delivery O Signature Confirmation
<br /> ❑Insured Mad ❑Signature Confirmation
<br /> 7016 2 7 10 0000 2 9 6 5 3854 ❑Insured Mail 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: U.S. Postal Service
<br /> ■A receipt(this portion of the Cert el. for an electronic return receipt,see a retail CERTIFIEDMAILO ` •
<br /> ■A unique identifi ur ma l' associate for assistance.To receive a duplicate v+
<br /> ■Electronic v i liv r e ted m receiptfor no additional fee,present this n
<br /> delivery. -postmarked Certified Mail receipt to the
<br /> ■Arecord dellV�[VV��p�ncl ing if�¢� ((,y�
<br /> retail oaate. m,
<br /> signature) at Iq r( iby Me Postal Sehircev w Restricte delivery service,which provides
<br /> for a specs ed period. delivery me addressee specified by name,or
<br /> //,, ���.v/ to the dressee's authorized agent 2.1 to 3.0 oz. Postage
<br /> Important R 'riders: `T -Adult gnature service,which requires the L $0.89
<br /> ■You may purch erbfied Mail service with si a to be at least 21 years of age(not = Certified Fee: S3.45
<br /> First-Class Mail®,Firs- ackageService®, adableatretail). Return Receipt Fee:
<br /> -
<br /> or Prionty Mail®service. u p
<br /> ■Certified Mail service is notavailable for u signature restricted delivery service,which CD .r!2.75
<br /> requires the signee to be at least 21 years of age
<br /> intemabonalmail. and provides delivery to the addressee specified CD e Total Postage & Fees:■Insurance coverage is not available for purchase by name,or to the addressee's authorized agent C3 g $�,O9 f
<br /> with Certified Mail service.However,the purchase (not available at retail).
<br /> of Certified Mail service does not change the ■To ensure that your Certified Mail receipt is ED 0insurance coverage automatically included with accepted as legal proof of mailing,it should bear a --a
<br /> r
<br /> certain Pnonty Mail items.
<br /> USPS postmark.If you would like apostmark on
<br /> ■For an additional fee,and with a proper this Certified Mail receipt,please present your
<br /> endorsement on the mailpiece,you may request Certified Mad item at a Post Office-for
<br /> the following services: postmarking If you don't need a postmark on this p g y p _y Alan Parkerson
<br /> -Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion _
<br /> of delivery(including the recipient's signature). of this label,affix dto the mailpiece,apply Parkerson Brothers LLC
<br /> You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece.
<br /> electronic versl6ifF��$r St. Room 215,Denver,COR(1203 710 S. 15th St
<br /> complete PS Form Form 811 to Domestic m Grand Junction, CO 81501
<br /> Receipt;attach PS Form 3811 to your mailpiece; IMPORTANT:Save this receipt for your records. �
<br /> PS Form 3800,April 2015(Reverse)PSN 7530-02-000-9047 '
<br /> USPS TftArM.G.#.-- „�; ,•,
<br /> - Fi£ =Class Mail..
<br /> Postage&Fees Paid
<br /> 9590 9402 3488 7275 7543 72
<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 St Safety
<br /> 1313 Sherman Street, Room 215
<br /> Denver,CO 80203 Spec
<br /> File � Dill
<br /> .-r
<br />
|