_GENERAL DOCUMENTS - M1993070

• Permit No: M1993070
• IBM Index Class Name: GENERAL DOCUMENTS
• Doc Name: Certified Mail Receipt
• From: DRMS
• To: Otis Jr. and Patricia M. Gordley
• Media Type: D
• Archive: No

CERTIFIED i
rJ RECEIPT
J3 Domestic Mail Only
r-q
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'-n Postage: $0.670
Zt- i
m certified Fee: $3.350
ru
Return Receipt Fee: $2.750
� Tyr,
n °r=
o Total Postage & Fees: $6.770
O `Postaga I
S _ ---
� ITotal Postage and Fees
—n Sent To
o �sr A�t OTIS JR AND PATRICIA M GORDLEY
;cry,state,of 19433 ROAD Q
FORT MORGAN, CO 80701
Certified Mail service provides the following benefits:
■A receipt( n.41
' for an electronic return receipt,see a retail
■A unique i rymt associate for assistance.To receive a duplicate
■Electronic ification of delivery r�Stempt turn receipt for no additional fee,present this
delivery �(� a US ostmarked Certified Mall receipt to the
■A rec d of d.r#( retail ass iate.
signa re)that is retained by the Postal Service- Restricte very service,which provides
for a s ified period. ��/ delivery to th addressee specified by name,or
�/%(�lx to the add re ee's authorized agent.
Important Re Adult si re service,which requires the
■You may purchase Cer ifie o be at least 21 years of age(not
First-Class Mad®,First-Class Package Services, available at retail).
or Priority Mails service. Adult signature restricted delivery service,which
■Certified Mall service is notavailable for requires the signee to be at least 21 years of age
intemational 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 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
certain Priority Mad 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 mailpiece,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 Mail 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 mailplece.
electronic version For a hardcopy return receipt,
comp) S Form 3811,Domestic Retum ea�g�ppp Syr �hIp� qQ
Recei i�8 d�c RV11t11<1�,U� vise, i.Mort Mrecords'
PS Form 3800,Aid[2015(Reverse)PSN 7530-02-000-9047 03