2018-08-17_GENERAL DOCUMENTS - M1990144

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COMPLETE THIS SECTION ON DELIVERY SENDER:COMPLETE THIS SECTION ■ Complete items 1,2,and 3. A. Signature ■ Print your name and address on the reverse X El Agent so that we can return the card to you. �' "� ❑Addressee ■ Attach this Card t0 the back of the mailpiece, 13 "Shed by(Printed Name) C. Date of Deliver, or on the front if space permits, p {�w"T$ �j�1 7 7 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes If YES,enter delivery address below. ❑ No R. Lewis Fillmore 63985 Highway 96 E Boone, CO 81025 3. Service Type p Priority Mail ExpressOO ❑ de"" 1i I j ❑Adult Signature Registered Ma Adult Signature Restricted Delivery ❑Registered Mail Restrict 111 111 11) 111 111 }�Certified MailS Delivery 9590 9402 3488 7275 7550 65 J Certified Mad Restricted Delivery ❑Return Receipt for 71 Collect on Delivery Merchandise 2 Article Number(Transfer from service label) Collect on Delivery Restricted Delivery Signature Confirmation T 'lad ❑Signature Confirmation 7016 2710 0000 2965 0525 fail Restricted Delivery Restricted Delivery PS Form 3811,July 2015 PSN 7530-02-000-9053 t ,v Domestic Return Recelpl Certified Mail service p s the following benefits: • , _ _ ■A receipt(this portion of the Ce ad label), ran electronic return receipt,see a retail ■A unique identifier foryou ilpiece. as ciate for assistance.To receive a duplicate RECEIPT ■Electronic verificatio y�ry or attempted D(�retur receipt for no additional fee,present this s s del5eryic _�^' ed Mail receipt tothe ■A record of delivery including the recipient's retail a ociate. signature)that is re J�y�p P etvice" ru Her d delivery setvice,which provides for a specked period l E?ff a V ` d Ilv pacified by name,or � to th ddressee's authorized agent. lmportantRoeminde P;r s3 Ln 0.1 to 1.0 o Z. Postage S 0 4 7 -Ad signature service,which requires the � ■You may purchase C 'fie�tAEail service with nee to be at least 21 years of age(not S 3.4 5 First-Class Mad®,First lass Package Service®, available at retail), Certified Fee or Priority Mail®service" _Adult signature restricted delivery service,which �� Return Receipt Fee: $2.7 5 ■Certified Mail service is nofavailable for requires the signee to be at least 21 years of age international mall. and provides delivery to the addressee specified ■Insurance coverage is notavailable for purchase by name,or to the addressee's authorized agent 0 Total Postage & Fees: S 6.6 7 with Certified Mail service.However,the purchase (not available at retail). of Certified Mail service does not change the ■To ensure that your Certified Mail receipt is insurance coverage automatically included with accepted as legal proof of mailing,it should bear a CD ■For an additional certain ditioy Mad dams. USPS postmark.If you would like a postmark on nal fee,and with a proper this Certified Mail receipt,please present your endorsement on the mailpiece,you may request Certified Mad item at a Post Office-for C— t'f''P the following services: postmarking If you don't need a postmark on this n'' -Return receipt service,which provides a record Certified Mad receipt,detach the barcoded portion of delivery(including the recipient's signature)" of this label,affix it to the mailpiece,apply You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece. R. LcR 1S F1I lmore electronic version.For a hardcopy return receipt, complete PS Form 3811,Domestic Retum F- 63985 High«av 96 E Rec P 1 to our m ' ie IMP ve this b records. �-WI��teoAun V.`doom 9R�C�®mier` c�` f 3 Boone_CO 8102� Ps Form 3800,April 2015(Reverse)PSN 7530-02-000-9047 b -5 USP$'' L3tIG# First-Class Mail Postage&Fees Paid USPS Permit No.G-10 9590 9402 3488 7275 7550 65 United States •Sender:Please print your name,address,and ZIP+4®in this box* Postal Service State of Colorado Department of Natural Resources Division of Reclamation,Mining& Safety 1313 Sherman Street, Suite 215 Denver, CO 80203 Spec_ File 1 li9o1m ;:�--sue:=��t�:�• illi'iilifliiill'liil'��t„�{i�i,iil'if�i,�iii,iil„ii�lfiiili,f