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� ■ 1 <br /> MAIL,,, RECEIPT <br /> Ir a- Er CERTIFIED <br /> -3- :1- <br /> r-3 � t3 IZI OFFICIAL USE <br /> it N <br /> CEI r o ca <br /> Ln Ln u7 Postage $ <br /> ur1 - I.r1 Ln <br /> Certlged Fee <br /> l3 0 <br /> l3 C3 © Return Receipt Fee postmark <br /> r0 © (Endorsement Required) Here <br /> Rest rkted DelNery Fee <br /> © � t3 U (Endorsement Required) <br /> C3 + t3 t3 <br /> Ln Ln t.r1 Total Postage&Fees $ <br /> t3 l3 t3 <br /> co co COrtt TO <br /> © 0 C3 Jodi Schreiber <br /> C3 0 C3 streef,apr.NO.; Fremont Paving&Redi-Mix, Inc. <br /> or PO Box No. 839 Mackenzie Avenue <br /> City"sraie,zlP+a Canon City,CO 81212 <br /> I <br /> to • - • r . <br /> ■ Complete items 1,2,and 3. a Signature <br /> e Print your name and address on the reverse X ©Agent <br /> so that we can return the card to you. ❑Addressee <br /> f• Attach this card to the back of the mallpiece, R• Received by(Printed Name) C. Date of Delivery <br /> or on the front if space permits. <br /> D. is delivery address different from item 17 13 Yes <br /> If YES,enter delivery address below; ©No <br /> Jodi Schreiber <br /> Fremont Paving & Redi-Mix, Inc. <br /> 839 Mackenzie Avenue <br /> Canon City, CO 81212 <br /> �I�'lll�ll l '1 III SII r[I II II�1IIIIIIIII It 3. Service Type C1Priorityred Express <br /> 13 I "II II IF ❑Adult Signature Cf Registered MaiITM <br /> ❑Adult Stgnature Restricted Delivery ❑R gistered Mail Restricted <br /> 9590 9402 3770 8032 0348 41 ❑Cedified Mallo Delruery <br /> ❑Certified Mail Restricted Delivery ❑Return ReceOtfor <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery ❑Signature Confirmation" <br /> ❑insured Mail ❑Stgnature Confirmation <br /> ❑[nsured Mail Restricted Delivery Restricted Delivery <br /> over 350e <br /> Ps Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt ) <br /> COLORADO <br /> Division of Reclamation, <br /> Mining and Safety <br /> Department of Natural Resources <br /> 1313 Sherman Street,Suite 215,Denver,CO 80203 <br /> 341300000 <br /> Jodi Schreiber <br /> Fremont Paving & Redi-Mix, Inc. <br /> 839 Mackenzie Avenue <br /> Canon City, CO 81212 <br />