_GENERAL DOCUMENTS - M1998059

• Permit No: M1998059
• IBM Index Class Name: GENERAL DOCUMENTS
• Doc Name: Certified Mail Receipt
• From: DRMS
• To: Laurine Koellner
• Media Type: D
• Archive: No

CERTIFIED MAILP RECEIPT
Domestic •Mail Only
M
co
Er
Er
.11
e Postage: $0.460 N_
IF $3350
r Certified Fee: $2..750 %stmark
r Return Receipt Fee: -- e
r
$6.56
Total Postage and Fees:
In.
$
r-1 Total Postage&Fees S -7
ru
SentTo -- ---- ---------------------------­-
C3 - - Laurine Koellner
;
r%- or PO Box No L&L Ready Mix --------------------- --------
--
City
---State,-- Z----1- --44 ­
- -
P.O.Box 218
Haxtun,CO 80731
Certified Mail service provides the following benefits:
•A Certified Mail receipt(this portion of
Certified Mail label). M-1998-05 age to
9 MV-2017-039 e,and
•A unique identifier for your mallplece. NOV Letter ceipt
■Electronic verification of delivery or al ERR WHE AjW ate for
delivery n receipt,
•A record of delivery(including the rec e To
signature)that is retained by the Postal present
Service for a specified period this USPSO-postmarkeo uerlffleU Mail
receipt to the retail associate,who will
ImportantReminders: provide a duplicate return receipt for no
•You may purchase Certified Mail service with additional fee.
First-Class Mail',Frst-Class Package
Service",or Priority Mail-service. -Restricted delivery service,which provides
delivery to the addressee specified by name,
•Certified Mail service is notavailable for or to the addressee's authorized agent
international mail. Include applicable postage to cover the
•Insurance coverage is notavailable for restricted delivery fee and endorse the
purchase with Certified Mail service However, mailpace"Restricted Delivery,"or see a
the purchase of Certified Mail service does not retail associate for assistance.
change the insurance coverage automatically ■To ensure that your Certified Mail receipt is
included with certain Priority Mail items accepted as legal proof of mailing,it should
•For an additional fee,you may request the bear a USPS postmark If you would like a
following services postmark on this Certified Mail receipt,please
-Return receipt service,which provides you present your Certified Mail item at a Post
with a record of delivery(including the Office'"for postmarking If you don't need a
recipient's signature).You can request a postmark on this Certified Mail receipt,detach
hardcopy return receipt or an electronic the barcoded portion of this label,affix it to the
version.IW(dc mailipietVp o at C .,&j,9,tUeceipt,
omplet 6� 4 80*WaSt.Rftmt
Receipt;attach PS Form 3811 to your IMPORTANT:Save this receipt for your records.
Ps Form 3800,July 2014(Reverse)PSN 7530-02-000-9047