|
¦ 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 maiipiece,
<br />or on the front if space permits.
<br />1. Article Addressed to:
<br />hrE?I- Mf.?-•'
<br />_TP ?5 TUN , G?yYf'? T??E s 17?Ei+r7'!
<br />3,7,q W. Or-?r?-wN a 0
<br />J?-? D A-k ?yS o ? yi?
<br />y?3?rs 9vy y
<br />A. Sign ure
<br />X ? Agent
<br />' ? Addressee
<br />Received by (Printed Name) very
<br />D. Is delivery address different from item 1? ? Yes
<br />If YES, enter delivery address below: ? No
<br />3. Service Type
<br />? Certified Mall ? Express Mail
<br />? Registered ? Return Receipt for Merchandise
<br />4. Restricted Delivery? (Extra Fee) ? Yes
<br />2. Article Number 7006 3450 0000 4880 8564
<br />(transfer from service label)
<br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02-WI 540
<br />-/ UNITED STATES POSTAL SERVICE First-Class Mail
<br />Postage & Fees Paid
<br />USPS
<br />p Permit No. G-10
<br />• Sender: Please print your name, address, and ZIP+4 in this box •
<br />E 0 r::01_01RADO
<br />DEPARTMENT OF NATURAL ReII60URCES U .,
<br />DIVISION OF RECLAMATION, WNING & SAFETY SEP 1313 SHERMAN STREET, SUITE 215 ?vfrt?o+1 or h
<br />DENVER, COLORADO 80203 M*n or r
<br />341300000
<br /> (Domestic
<br />Ln
<br />ra
<br />O
<br />CID - - - -
<br />m
<br />-31
<br />Postage:
<br />$0.61
<br />C3 Certified Fee: $2.80
<br />C3 ;. , ,, Return Receipt Fee:
<br />c $2.30
<br />C3 (Lnd
<br />r. _.
<br />O
<br />
<br />l
<br />Rest
<br />Postage & Fees:
<br />
<br />$5
<br />71
<br />E
<br />Ln
<br />M
<br />?- - .
<br />Total Postage & Fees
<br />O
<br />O
<br />fti
<br />Spec.__6
<br />File # ?Q_C_03pOo1 --
<br />il„I,li)I,,,i,lli„,,,li,„i,i„
<br />Certified Mail Provides: Spec. f5,4
<br />¦ A mailing receipt .,.File #• i Wgo3 QQ,?
<br />¦ A unique identifier for your maiipiece (Arjpf P; T-- r,%.tAf?' Ly
<br />¦ A record of delivery kept by the Postal en-,cc for two nears
<br />Important Reminders:
<br />¦ Certified Mail may ONLY be combined with First-Class Mail® or Priority Mai
<br />¦ Certified Mail is not available for any class of international mail.
<br />¦ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. F
<br />valuables, please consider Insured or Registered Mail.
<br />¦ For an additional fee, a Return Receipt may be requested to Provictde proof
<br />delivery. To obtain Return Receipt service, please - -W ;^c. p "I R,??ui
<br />Receipt (PS Form 3811) to the article and add r r , - _ -•=r tt
<br />fee. Endorse maiipiece "Retum Receipt Request , r f(
<br />a duplicate return receipt, a USPS, postmark c. tali . of
<br />required.
<br />¦ For an additional fee. delivery may be re5* U
<br />addressee's authorized agent. Advise the r...r, SE with u
<br />endorsement 'Restricted Delivery*.
<br />¦ if a postmark on the Certified Mail recent:
<br />cleat the post office for postmarking. lid ,
<br />receipt is not needed, detach and affix lar tlfwtirw.,"rtwefy
<br />IMPORTANT: Save this receipt and present it wilen inaking an inquiry.
<br />PD Fo.. n 3l5U0, August 2006 fRev. rsa) PSN 753002-000.9047
<br />DRMS-1313 Sherman, Rm 215, Denver, CO 80203
|