_GENERAL DOCUMENTS - M2003074

• Permit No: M2003074
• IBM Index Class Name: GENERAL DOCUMENTS
• Doc Name: Certified Mail Receipt
• From: DRMS
• To: Mark Balderson
• Media Type: D
• Archive: No

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RECEIPTCERTIFIED MAIL"
Domestic Mail Only
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Ln
cr 1.1 to 2.0 oz. Postage $0.68
`u certified Fee: 53.4E
o Return Receipt Fee:
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Total Postage & Fees: 56,88
f Total Postage and Fees'
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'`'"-t T, Mark Balderson "
a � -
=` Rock-N-Pine LLC
"It,_Star- 503 Wise St.
Hamlet, NE 69040
Certified Mail service s the following benefits:
■A receglt(this portion of the Ce ' a_it Label). an electronic return receipt,see a retail
■A unique identi for yo ailplece. a late for assistance.To receive a duplicate
■Electronic verrh e' additional fee,present this
delivery, ���U PSO-po marked Certified Mail receipt to the
■A record of de' gWIng the recipient's 7 retail associ s-
signature) t I it by e P 5 — Restricted del rvice,which provides
fora spec ed penod. a rvery to addressee specified by name,or
to the ad ssee's authorized agent.
Important inders: ignature service,which requires the
■You may purch signee to be at least 21 years of age(not
First-Class Mad®,First-Class Package Service®, available at retail).
or Priority Mall®service. GT 0 7 Adult signature restricted delivery service,which
■Certified Mail service is nctavailable for requires the signee to be at least 21 years of age
International mail. and provides delivery to the addressee specified
■Insurance coverage Is notavailable for purchase by name,or to the addressee's authorized agent
with Certified Mail service.However,the purchase (not available at retalq.
of Certified Mail service does not change the ■To ensure that your Certified Mail receipt Is
Insurance coverage automatically included with accepted as legal proof of mailing,it should bear a
certain Priority Mail items. USPS postmark If you would like a postmark on
■For an additional fee,and with a proper this Certified Mail receipt,please present your
endorsement on the mallplece,you may request Certified Mail item at a Post Office for
the following services: postmarking If you don't need a postmark on this
-Return receipt service,which provides a record Certified Mall receipt,detach the barcoded porbon
of delivery(including the recipient's signature). of this label,affix it to the mallplece,apply
You can request a hardcopy return receipt or an appropriate postage,and deposit the mallplece.
electronic version.For a hardcopy return receipt,
complete PS Form 3811,Domestic Retum
Recejpt a{)gp Pj F 3$11 to your mailpiece; IMPORTARS:Save this recetpt for your records.
Ps Form 3UU8tt00,,Apol2016(R4.ejM&%, XW 215,Denver,CO 80203