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• Complete items 1 2 and 3 A S;gNaW
<br /> lit Print your narne and address on the reverse A�`=nt
<br /> so that we can return the card to you. 4 ( ❑Adares_�
<br /> ■ Attach this card to the back of the mailpiece 13 Fiec(fved by(Printed Name) ��D or DFlras
<br /> or on the front if space permits �Y 1 2
<br /> 1 Article A1dr�_3,ed tn- D s— s I -- e- -Te
<br /> dehc�xy j,ddrass dlfteranl from r.�rn I? ❑ 'r�r
<br /> yE3 :H .e r,{
<br /> Mr. Robert Carpio I
<br /> i
<br /> First FarmBank j
<br /> 501 East 8th Avenue i
<br /> Yuma, CO 80759 L_
<br /> ��,_'-----
<br /> ,+h�,l*
<br /> 9 9C) }�;� l J63 n';32 70'�8 `c ccti*ed"t,i.rh., DE,, '�
<br /> Certified nail Re�irr t-d Dcli,.ery ❑Return Rece pt l
<br /> Collect,n Uehvery t lercFa�id,se
<br /> CoU,'._t x,t,.11,�-ri l;n,ct,. U_„ -.v _-
<br /> 7016 1 0822 i insurer,Mail Siynavjre Cont.
<br /> 6 2 710 0000 2965 In_�ired Mail R�stnctcd D,.hvery Resin_:=;Deli ,
<br /> PS Fnrrii 3811 10 ?Q1F PSTI ' ,O 'V 000-9093 nor,a;tic R,=tuns Recer
<br /> Certified Mail ae previd�s the following benefits: ' •
<br /> ■A receipt(this in-oFfthe Cert�ed Mail labeq. or an electronic return receipt,see a retail
<br /> A unique id {� ma 1piece �-�j a elate for assistance.To receive a duplicate
<br /> ■Electronic ve ca6 r no additional fee,present this i ,, •
<br /> delivery. �.�) '!j J�,� USPS® ostmarkedCertifiedMailreceipttothe
<br /> ■A record of Irding the raciplents retail ass elate.
<br /> signatu:, h'�is re a delive service,which provides
<br /> fora so, erfod. r'II. kry delivery the resseespecdiedbyname,or t.1 to 2.0 oz. Postage Sd,s$
<br /> to the dressee's authorized agent $3.45
<br /> lmportaM+dremindes: '}ii I p signature service,which requires the J Certified Fee: S2.75
<br /> ■You may purchase Cerhfl�Maii service with signee to be at least 21 years of age(not
<br /> First-Class Mai a�� kaea�^�t�° available atretaill �; - Return Receipt Fee:
<br /> or PdoMy Mail®service. Adult signature restricted delivery service,which
<br /> ■Certified Mail service is notavallabie for requires the signee to be at least 21 years of age r_1 S6.88
<br /> irdemational mail. and provides delivery to the addressee specified Total Postage & Fees:
<br /> ■Insurance coverage Is notavallable for purchase by name,or to the addressee's authorized agent
<br /> with Certified Mail service.However,the purchase (not available at retail).
<br /> of Certified Mail service does not change the ■To ensure that your Cerlfied Mail receipt is —-
<br /> Insurance coverage automatically included with accepted as legal proof of mailing,it should bear a
<br /> certain Priority Mail items. USPS postmark.If you would like a postmark on a -
<br /> ■for an additional fee,and with a proper this Certified Mail receipt,please present your F T
<br /> endorsement on the mailplece,you may request Certified Mail item at a Post Office'"for
<br /> the following services: postmarking.If you don't need a postmark on this
<br /> -Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion _Z Mr. Robert Carpi o
<br /> of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply
<br /> You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece. First Farm Ban k
<br /> electronic version.For a hardcopy return receipt,
<br /> R esticRetu �� r- 501 East 8th Avenue
<br /> Yuma, CO 80759
<br /> PS Form 3800,April 2015(Reverse)PSN 75300--0e2-000-9047
<br /> 6 b.3 °:+ems �;�t^'M�`•sg+,g.at rK m.. .r
<br /> LISPS TRACKING#
<br /> First-Class Mail
<br /> Postage&Fees Paid
<br /> USPS
<br /> Permit No.G-10
<br /> 9590 9402 2053 6132 7828 18
<br /> United States •Sender:Please print your name,address,and ZIP+411 in this box•
<br /> Postal Service State of Colorado
<br /> Department of Natural Resources
<br /> Division of Reclamation,Mining&Safety
<br /> mf1/" 9403 ,am.
<br /> 313 Sherman Street,Room 215 Spec L:-'
<br /> Denver,CO 80203 File )L f
<br /> rl I —✓' l L L_ I7? c'�!✓_h am
<br />
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