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SENDER:COMPLETE T141S SECTION COMPLETE THIS SECTION ON DELIVER Y <br /> ■ Complete items 1,2,and 3. A. Signature <br /> ■ Print your name and address on the reverse X ❑Agent <br /> so that we can return the card to you. u l ❑Addresser <br /> ■ Attach this card to the back of the mallpieee, BnRe elved by(Printed Name) C. Date of Deliver <br /> _or on the front if space permits. 1rtY' '{ W/is ��{�J -'77 <br /> 1. Article Addressed to. D. Is delivery address different from item 1? El Yes <br /> If YES,enter delivery address below. ❑ No <br /> R. Lewis Fillmore <br /> 63985 Highway 96 E <br /> Boone, CO 81025 <br /> 3 Service Type ❑Priority Mail Expresso <br /> ❑Adult Signature ❑Registered Mall- <br /> Adult Signature Restricted Delivery ❑Registered Mail Restrict <br /> III Certified Madg Delivery <br /> 9590 9402 3488 7275 755065 Certified Mad Restricted Delivery ❑Return Receipt for <br /> u Collect on Delivery Merchandise <br /> 2. Article Number(Transfer from service label Collect on Delivery Restricted Delivery 11 Signature Confirmation <br /> T <br /> lad ❑Signature Confirmation <br /> 7016 2710 0000 2965 0525 lad Restricted Delivery Restricted Delivery <br /> O) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 ��;y, Domestic Return Receipl <br /> Certified Mail service RA IS the following benefits: • , <br /> ■A receipt(this portion of the Ce ad label). ran electronic retum receipt,see a retail <br /> ■A unique identifier for your ilp,ece. as aate for assistance To receive a duplicate <br /> ■Electronic venricatio g�►Iry� or attempted retur receipt for no additional fee,present this <br /> delivery. f1G. �� - ad Mad receipt to the rru FHAS <br /> ■A record of delivery ncluding the recipient's retail,a ocrate. Lr) <br /> signature)that rs rie Jiyy�P ervice" pestnct d delivery service,which provides <br /> CD <br /> for a specified period @ Ff r V ( d liv eciied by name,or <br /> to th ddressee's authorized agent. <br /> Important Reminde S:'\� �j i3 Ad signature service,which requires the ' 0.1 t o 1.0 o z. Postage $0 4 7 <br /> •You may purchase C heit Mail service with nee to be at least 21 years of age(not � S 3.4 5 <br /> First-Class Matl®,First Iass Package Service®,/ available at retail). Certified Fee <br /> or Priority Made service. Adult signature restricted delivery service,which = Return Receipt Fee: $2.7 5 <br /> ■Certified Mall service is notavailable for requires One signee to be at least 21 years of age <br /> international mail. and provides delivery to the addressee specified <br /> ■Insurance coverage is not available for purchase by name,or to the addressee's authorized agentTotalaFees: 6.6 7 <br /> with Certified Mail service.However,the purchase (not available at retail), t] Postage s to g e & S <br /> of Certified Mail service does not change the ■ <br /> To ensure that your Certified Mail receipt is <br /> insurance coverage automatically included with accepted as legal proof of mailing,it should bear a <br /> certain Priority Mad items. USPS postmark.If you would like a postmark on <br /> ■For an additional fee,and with a proper this Certified Mail receipt,please present your - <br /> endorsement on the mailpiece,you may request Certified Mad item at a Post Office"for r r"•' ' <br /> the following services: <br /> -Return receipt service,which provides a record Postmarking.If youreceipt, <br /> don't need a postmark on this y Y <br /> P P Certified Mad receipt,detach the barcoded portion � _of delivery(including the recipient's signature). of this label,affix it to the madpiece,apply <br /> You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece. - R. LC«1S F11 i more <br /> electronic version.For a hardcopy return receipt <br /> complete PS Form 3811,Domestic Retum 63985 High«av 96 E <br /> Rec " P 1to aurm ie IMP T vethis records. <br /> �- ��teRan V. 61m C�emter`�C�t1 Im- 3 Boone-CO 81025 <br /> PS Form 3800,APri12015(Reverse)PSN 7530-02-000.9047 ,firs+;-•. '%'�a <br /> 41 <br /> USSP,WTRp{ iAltG# <br /> First-Class Mail <br /> Postage&Fees Paid <br /> USPS <br /> Permit No.G-10 <br /> 9590 9402 3488 7275 7550 65 <br /> United States •Sender:Please print your name,address,and ZIP+4®in this box* <br /> Postal Service State of Colorado <br /> Department of Natural Resources <br /> Division of Reclamation,Mining& Safety <br /> 1313 Sherman Street, Suite 215 <br /> Denver, CO 80203 Spec_ <br /> File M i9tio(lty <br /> �TB <br /> :G~~ --,_=1 i i{{i'll{ifiifij�'{il{'jj�lil'{ljlrjlijrllII11i11111iJill <br />