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U.S. Postal Service' <br /> CERTIFIED MAIL° RECEIPT <br /> rr IT' 0— Domestic Mail Only <br /> N N IN- <br /> a— =W �..11INNIMMIIIMMII• 0-' 0" For delivery information,visit our website at www.usps.com'. <br /> 0 <br /> Z <br /> W ` �� OFFICIAL USE <br /> g g Q r-a r-9 Certified Mail Fee <br /> 1. <br /> o a Q" Ir Extra Services&Fees(check box add fee as apprcpnate) <br /> ZO �� 0 Return Receipt(hardcopy) $ <br /> LL y 4 O O ❑Return Receipt(electronic) $ Postmark <br /> O o w wry "' ".... ........ ' O O ['Certified Mail Restricted Derrvery $ Here <br /> rzi O o `. O 0 ❑Adua Signature Required $ <br /> a Z O 0 ❑Adult Signature Restricted Delivery$ <br /> 3T. ~ O O Postage <br /> O ~ <br /> �� ,,. O O S <br /> h= Total Postage and Fees_... <br /> ru u ® ru ru $ <br /> N <br /> r-, Sent To Rhett Bennett <br /> r-1 s�� Black Mountain Sand Weld LLC <br /> O O O Street and Apt.No.,o. 500 Main St. <br /> N N N Suite 1200 <br /> City,State,2IP+4a <br /> Fort Worth,TX 76102 <br /> MinrmliwirimmirtgmfflumpwrimpirmaRRII <br /> • <br /> Ii LO1801 <br /> SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3. A. Signature . <br /> • Print your name and address on the reverse <br /> so that we can return the card to you. X 0 Agent <br /> ■ Attach this card to the back of the mailpiece, by(Printed Name) C. 0 AddresseeDe <br /> p B. Received Cate of Delivery <br /> or on the front if space permits. <br /> D. Is delivery address different from item 1? 0 Yes <br /> Rhett Bennett If YES,enter delivery address below: 0 No <br /> Black Mountain Sand Weld LLC <br /> 500 Main St. <br /> Suite 1200 <br /> Fort Worth, TX 76102 <br /> 111111 <br /> 11111 Illi 1111111 110111111111111 III 3. Service Type <br /> ❑Adult Signature ❑Priority Mail Express® <br /> 0 Registered MaIITM <br /> 9590 9402 3770 8032 0587 79 0 Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> El Certified Mail® Delivery <br /> ❑Certified Mail Restricted Delivery 0 Return Receipt for <br /> 0 Collect on Delivery Merchandise <br /> 2. Article Number(Transfer from service label) 0 Collect on Delivery Restricted Delivery 0 Signature Confirmationne <br /> ❑Insured Mail ❑Signature Confirmation <br /> ❑Insured Mail Restricted Delivery Restricted Delivery <br /> (over$500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 <br /> Domestic Return Receipt <br /> COLORADO <br /> Division of Reclamation, <br /> Mining and Safety <br /> Department of Natural Resources <br /> 1313 Sherman Street,Room 215 <br /> Denver,CO 80203-2243 <br /> 341300000 <br /> Rhett Bennett <br /> Black Mountain Sand Weld LLC <br /> 500 Main St. <br /> Suite 1200 <br /> Fort Worth, TX 76102 <br />