_GENERAL DOCUMENTS - M1997087 (3)

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SENDER:COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,277773. A.jSiature X ❑Agent ■ Print your name and address on the reverse ❑Addresse so that we can return the card to you.■ Attach this Card to the back of the mailpiece, B• ived by(Printed Name) C. Date of Delivei or on the front if space permits. _ 1. Article Addressed to D. Is delivery address different from item 1? ❑Yes If YES,enter delivery address below' ❑ No James Simpson Arnolds Custom Seeding, LLC 4626 WCR 65 Keenesburg, CO 80643 3. Service Type ❑Priority Mail Express® ❑Adult Signature a Registered Mail- 1! LI Adult Signature Restricted Delivery C Registered Mail Restric I Certified Mad® Delivery 9590 9402 3488 7215 7550 41 Certified Mail Restricted Delivery ❑Return Receipt for ❑Collect on Delivery Merchandise ❑Collect on Delivery Restricted Delivery ❑Signature Confirmation 2. Article Number(Transfer from service label) .flail ❑Signature Confirmation )tail Restricted Delivery Restricted Delivery 7016 2710 0000 2965 0532 10) PS Form 3811,July 2015 PSN 7530-02-000-9053I(3 Domestic Return Receil Certified Mail service I he following benefits: Postal ■A receipt(this portion of the C ail label). fo electronic return receipt,see a retail ■A unique Identifier mailpiece. associ to for assistance.To receive a duplicate ■Electronic venfica' � return ceipt for no additional fee,present this fU ., delivery. i Ir,191 y-7 08.7 f4aWrKe0 Certified Mail receipt to the ■A record of dellve I d the recipient's retail sociate. ,...a signature)that is r i Res cted delivery service,which provides SOA7 for a specified perio a specified by name,or 0.1 t o 1.0 o z Postage RT B o the addressee's authorized agent. S 3.4 rmportanrRemmders: n Certified Fee. ■You may purchase Certified Mail service with sign signature service,which f age(n the 0— S2,75 signeetobeatil), l years ofage(not Return Receipt Fee: First-Class Mad®,First-Class Package Service®, available at retail). or Priority Mail®service -Adult signature restricted delivery service,which CJ ■international Mail service is notavallable for requires the signee to be at least 21 years of age $6 67 international mail. and provides delivery to the addressee specified T o t a I Postage & Fees: ■Insurance coverage Is notavailable for purchase by name,or to the addressee's authorized agent M With Certified Mail service.However,the purchase (not available at retail). C:3 of Certified Mail service does not change the ■To ensure that your Certified Mad receipt is insurance coverage automatically included with accepted as legal Proof of mailing,it should bear a certain Priority Mad items. accepted postmark.if you would like a postmark on ■For an additional fee,and with a proper this Certified Mail receipt,please present your ;_i y'a;,`f F— endorsement on the mailpiece,you may request Certified Mail item at a Post Office—for the following services: -Return receipt service,which provides a record Postmarking r you don't need a postmark on this , . J�eS Simpson P P Certified Mad receipt,detach the barcoded portion � of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply Alnolds Custom Seeding. LLC You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece. r electronic version.For a hardcopy return receipt, I~ J626 W CR 61 complete PS Form 3811,Domestic Retum C O 3U64 Rece t•a ch PS Form 3811 to your mailpiece; IMPORTANP.Save this receipt for your records. Keenesbu ��131 Shed 215 Denver,CO 80203 - " pgy�se PS Forth S� nl 2015 Reverse 2 , . USPS TRACKING# t First-Class Mail Postage&Fees Paid USPS $ Permit No.G-10 9590 9402 3488 7275 7550 41 United States •Sender:Please print your name,address,and ZIP+4®in this box* Postal Servic^ State of Colorado Department of Natural Resources Division of Reclamation,Mining& Safety 1313 Sherman Street, Suite 215 Denver, CO 80203 Spec e69, File MIk47081 ill III fill!