2019-10-25_REVISION - M2008022 (3)

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� COLORADO Division of Reclamation, Mining and Safety Department of Natural Resources 1313 Sherman Street,Room 215 Denver,CO 80203-2243 341300000 Jason Burkey Oldcastle SW Group, Inc. dba United Companies 2273 River Road Grand Junction, CO 81505 SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3. A. signature ■ Print your name and address n the reverse X ❑Agent so that we can return the ca to you. ❑Addressee ■ Attach this card to the back o the mailpiece, B. Received by(Printed Name) C. Date of Delivery or on the front if space permit . I A,+iriu AAA—...A r n I .rnih-address different from item 17 ❑Yes r delivery address below: ❑No Jason Burkey Oldcastle SW Group, Inc. dba United Companies 2273 River Road Grand Junction, CO 81505 II I IIIIiI III III I II II II III I I I I I I I I I II I IIII III V�x'ig UP. ❑Priority Mail a it re ❑Adult Signature ❑Registered MaiIT'" ❑Adult Signature Restricted Delivery ❑Rel entered Mail Restricted Cl Certified Mall@ 9590 9402 2543 6306 1179 63 ❑Certified Mall estricted Delivery ❑Rum Receipt for ❑Collect on Delivery Merchandise 2. Article Number(Transfer from service/abet) Collect on Delivery Restricted Delivery ❑Signature Confirmation- 0 Signature Confirmation 7 018 2290 0001 8923 6392 )"I Restricted Delivery Restricted Delivery -------------- PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt PostalTI CERTIFIED 1 0 RECEIPT ru ruDomestic Mail • nly Ir Ir m m —0 _n For delivery.information,visit our website at wwwuspsxom�. En _ ru N Certified Mail Fee D-' IT' $ "13c13 ExtraServices 8 Fees(check box,add fee as appmPdare) _ ❑Retum Receipt(hardoopy) $ O O El Retum Receipt(electronic) $ Postmark O C ❑Certified Mail Restricted Delivery $ Here O C ❑Adult Signature Required $ ❑Adult Signature RwWcted Delivery$ O O Postage �- ru Total Postage and Fees co co Jason Burkey 0 o Oldcastte SW Group United , Inc. dba Unit r� r- 2273 River Road Co meanies Grand