|
COMPLETE •N COMPLETE THIS SECTIONON,DELIVERY
<br /> ■ Complete Items 1,2,and 3.Also complete eSign `item 4 if Restricted Delivery is desired. ❑Agent
<br /> ■ Print your name and address on the reverse ❑Addresse
<br /> so that we can return the card to you. ) C. Dace Deli er
<br /> ■ Attach this card to the back of the mailpiece, rint Name or on the front if space permits.
<br /> 1 Articl-Addressed to D. Is delivery addr-ss different from item 1 o ❑ Yes
<br /> If YES,enter delivery address below. ❑ No
<br /> Glenn Moltrer
<br /> Purgatoire Valley Construction, Inc.
<br /> 117 Pine Street
<br /> nO�1
<br /> 3. Se ice Type
<br /> Trinidad, CO 81082 Certified Mail'= ❑ Priority Mail Express"
<br /> ❑ Registered ❑ Return Rece,pt for Merchandis
<br /> ❑ Insured Mail ❑ Collect on Deh:ery
<br /> 4 Restricted Delivery?(Extra Fee) ❑Yes
<br /> 2 Article Number 7 014 2120 0001 7885 7306
<br /> (Transfer from service label)
<br /> PS Form 3811, July 2013 Domestic Return Receipt f,t3
<br /> Certified Mail service provides the following benefits: U.S. Postal Service TM
<br /> ■A Certified Mail receipt(t lMn of the mailpiece;include applicable postage to
<br /> Certified Mail label). covet tfie return receipt service fee;and fll MAIL@ RECEIPT
<br /> ■A unique identifier for yof Haiece. endorse the mailpiece"Return Receipt Domestic •
<br /> ■ nly
<br /> Electronic verification of delivery or attempted d,"or see a retail associate for C
<br /> delivery. assistance.For an electronic return receipt, r,
<br /> ■A record of delivery(including t plent's see a retail associate for assistance.To
<br /> signature that is retah b e Post � eive a duplicate return receipt,present
<br /> this SPS®- ostmarked Certified Mail
<br /> Service for a specifie oil. u1
<br /> �^ recei to the retail associate,who will —- - - —----
<br /> Important Reminders L (yZS provid a duplicate return receipt for no � I
<br /> ■You may purchase C d Mailicwith addibo al fee. `a
<br /> First-Class Mail®,First la ckage fq i3 Restri ed delivery service,which provides r"
<br /> Service®,or Priority Mad Ice. dell ry to the addressee specified by name, °''"'-" e c.-/
<br /> ■Certified Mail service is notavai r o the addressee's authorized agent.
<br /> international mad. Include applicable postage to cover the ❑ Ran.r Recaipt Fec
<br /> ■Insurance coverage is notavailable for restricted delivery fee and endorse the ❑ tEnclersemert R, rred 7 ! "'
<br /> purchase with Certified Mail service.However, mailpiece"Restricted Delivery,"or see a ED Restricted Deh,er,Fee d
<br /> the purchase of Certified Mail service does not retail associate for assistance. C2 ;Erclse,rt Regwreidt
<br /> change the insurance coverage automatically ■To ensure that your Certdied Mail receipt is
<br /> included with certain Priority Mail items. accepted as legal proof of mailing,it should ru 7
<br /> ■For an additional fee,you may request the bear a USPS postmark.If you would like a r-9 3 N-stage 3 r-e:s , (: -
<br /> following services: postmark on this Certified Mad receipt,please rt1 - --
<br /> -Return receipt service,which provides you present your Certified Mail item at a Post S,rt r -with a record of delivery(including the office'"for postmarking If you don't need a _r Glenn Moltrer
<br /> recipient's signature � Qequ�sfra, ostmark( this Certified Mad receipt,detach r-a `Srrloi 3 apr No
<br /> hardcopy return rece r'dit'dlee4,i�nlei Sh dfddWortion of this label,affix it to the c Purgatoire Valley Construction. Inc
<br /> version.For a hardcrpr�k't0 Q02 P p postage, nr?3_.Nc
<br /> 81 RettlhP I iece,apply appropriateand 117 Pine Street
<br /> complete PS Form 3 A sit the mailpiece. are zlrr
<br /> Receipt,-attach PS Form 3811 to your imppprmi,Save this receipt for your records. Trinidad.CO 81082
<br /> PS Form 3800,July 2014(Reverse)PSN 7530-02-e049047 PS Form 3800,July 2014
<br /> UNITED STATES POSTAL-SERVICE 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_ ER?,
<br /> File M ZOI'd CZS
<br /> �'I'111III"11111"�'�11,'�lllll�llllll�fl,nrlfrll�rl'�Illrrlrr)
<br />
|