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ertified Mail Provides: ~~' ++~~ ~~ <br />A mailing :receipt . ~ lesreney) to eun ~posg#wo~ $d <br />A unique identifier for your mailpiec ~ Z <br />A record of delvery kept by the Postal Service "r o years <br />nportant Reminders: <br />Certified Ma(1 may ONLY be combined with First-Class Mail®or Priority Mall. ~ <br />Certified Mail is notavailable for any class of international mall. ~ <br />NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For <br />valuables, please consider Insured or Registered Mail. <br />For an additional fee a Return Receipt may be requested to provide proof of <br />delivery. To obtain Relum Receipt service, please complete and attach a Return <br />Receipt (PS Fom- 3811) to the article and add applicable postage to cover the !~ <br />fee. Endorse mailplece "Return Receipt Requested". To receive a fee wafVer for' <br />a duplicate return receipt, a USPS® postmark on your Certified Mail receipt is <br />regwred. <br />For an addiuonal fee, delivery may be restricted to the addressee or <br />addressee's authorized a ant. Advise the clerk or mark the mailpiece with the <br />endorsement °Restricted~elivery°. <br />If a postmark on the Certified Mail receipt is desired, please present the arti- <br />cle at the post office for postmarking. If a postmark on the Certified Mail <br />receipt is not needed, detach and affix label with postage and mail. <br />NPORTANT: Save this receipt and praseni it when making an inquiry. <br />tternet access to delivery information Is not available on mail <br />ddressed to APOs and FPOs. <br />DBMS-1313 Sherman, Rm 215,. Denver. CO 80203 <br />UNITED STATES POSTAL ~~,r ~ ~ :~~;,~.,";~: a: • s ~o. <br />~(' <br />RJ <br />~ $0.58 <br />,~ .E~C~$2.65 <br />a Posta9e~ eec 00$2.15 <br />°o Certified F t F1e~~ ~ ~~~~ ~~115.38,~ <br />o Return Receip <br />_ a~_ ~ e <br />~ ll Total Postage a`~'~~ <br />...~ <br />'~ Total Postage & Fees <br />m <br />0 <br />0 <br />or PO Box No. <br />• Sender: Please print your name, address, and ZIP+4 in this box • <br />STATE OF COLUf-;AUU <br />DEPARTMENT OF NATURAL RESOURCES <br />DIVISION OF RECLAMATION MINIi~i AND SAPE11f <br />1313 SHERMAN STREET, SUITE 215 <br />D~ COLORADO 80004 <br />j~eC• . <br />34300000 (q~~,~q2 <br />^ Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />^ Print your name and address on the reverse <br />so that we can return the card to you: <br />^ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />.. -E. <br />4 <br />Doug Dowling <br />Dorn Ready-Mix Corp <br />19671 Rd R 7 ! <br />P.O. Box 636 <br />Fort Morgan, CO 80701 ~ <br />Doug Dowling <br />Dorn Ready-Mix Corp <br />19671 Rd R 7 <br />P.O. Box 636 <br />Fort Morgan, CO 80701 <br />~~ <br />~~/ <br />A <br />\Q~~ ~~. <br />~~,~ <br />A Si nature <br />X ~ ^ Agent , <br />^ Addressee <br />B.`` Recapgd by (Printed N C. to of Delivery <br />Z V~CM (~c:.~C1vS\ I ~~ l ~~ <br />D. is delivery address different fi~m item 1? ^ Yes <br />If YES, enter delivery address below: ^ No <br />3. Service Type <br />^ Certified Mail ^ Express Mail <br />^ Registered ^ Return Receipt for Merchandise , <br />^ Insured Mail ^ C.O.D. <br />4. Restricted DelNer)/1(Exfra Fee) ^ Yes <br />2. Article Number 7pp3 168 000 6422 8696 <br />(ilansfer from service labeq <br />PS Form 3811, February 2004 Domestic Return Receipt to2sss-02-M-lsno <br />