SENDER • r COMPLETE r ON
<br /> ■ Cr ir;f'lete Itelnv i ,and 3 n Signature
<br /> '., LJ Agenr
<br /> ■ Print Vcrur name and address on thy=reverse X � ❑Addre-�
<br /> M, rt rat ror .au rgtur 0ttw Ctl d to yuu ---�
<br /> ■ Attach this card to the back of the mailpiece B. Fcelved by(Printed Name) Date of Deli
<br /> or on the hunt if space permits '
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<br /> �L Cert:n,d inau r.r,rn�r=r Rev_:pt rrr
<br /> Coliect on Deh Merchandise
<br /> Coil&t ur,Doh• ,Ri_trr obi n„I, "Co `r a*
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<br /> 7016 2710 0000 296S 2642
<br /> lad Reo(r'steo Piestrctuo L�li�er�
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<br /> Certified Mail service provides the following benefits: U.S.,Postal Service
<br /> ■A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail
<br /> ■A unique identifier for your m ' ssociate for assistance.To receive a duplicate rU
<br /> CERTIFIED MAILP RECEIPT
<br /> •Electronic venfication o Ivery or attempte re celpt for no additional fee,present this .. •
<br /> delivery. (! USPS®-p arked Certified Mad receipt to the ,
<br /> ■A record of delive MY
<br /> t dlfitj retail associate. . -�
<br /> signature)that is etained by the Postal Service- -Restricted delivery rllce,which provides
<br /> for a specified pe µ / very to the s e specified by name,or
<br /> ie# /1.1 oc,t ,rytot orzedagent d _ -__,- ,+ •'
<br /> ImportantRemin Adultslgnature ice,which requires the 53.45
<br /> ■You may purchase Ce ' d Mail service with signee to be�tfeast 21 years of age(not = �, .. v�'
<br /> First-Class Mad®,First-Cla ackage Services, avad�W9t retail) 2.7 5
<br /> or Priority Made service. bdutt signature restricted delivery service,which E3 Certified F ee
<br /> • l t Fee*
<br /> Certified Mail service is not available for requires the signee to be at least 21 years of age � Return R e ce p
<br /> international mad. and provides delivery to the addressee specified CJ 6.67
<br /> ■Insurance coverage is notavailable for purchase by name,or to the addressee's authorized agent Fees
<br /> with Certified Mall service However,the purchase (not available at retail). T ptal Postage &
<br /> of Certified Mad service does not change the is To ensure that your Certified Mail receipt is c n n
<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 �- n
<br /> ■For an additional fee,and with a proper this Certified Mail receipt,please present your
<br /> endorsement on the mailplece,you may request Certified Mail item at a Post Office'for
<br /> the following services: postmarking.If you don't need a postmark on this -D
<br /> Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion __9 �
<br /> of delivery(including the recipient's signature). of this label,affix itto the madpiece,apply 71 - J
<br /> You can request a hardcopy return receipt or an appropriate postage,and deposit them 'I l e. -
<br /> electranigypTy(girfD(a;%ardQO Y�Ke% Room 215,Nnuer, CO ����� �1,2� Cer�G/ �tirfs
<br /> complete PS Lorin 381 s6 e
<br /> Receipt attach PS Form 3811 to your mailplece; IMPORTANT:Save this mcelpt for your records. I O ( c� rb D
<br /> PS Form 3800,April 2015(Reverse)PSN 7530-02-000-9047
<br /> USPSTRACKM#
<br /> fill First-Class Mail
<br /> Postage&Fees Paid
<br /> USPS
<br /> Permit No.G-10
<br /> 9590 9402 2053 6132 7807 91
<br /> United States •Sender:Please print your name,address,and ZIP+411 in this box*
<br /> Postal Service
<br /> b I A I t, Ur CULORAUU
<br /> DEPARTMENT OF NATURAL RESOURCES
<br /> IVISION OF RECLAMATION,MINING&SAFETY
<br /> 313 SHERMAN STREET,SUITE 215
<br /> ENVER,CO 80203-2243
<br /> Spec.
<br /> z--3
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