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o <br />UNITED STATES POSTAL SERVICE First-Class Mail <br />Postage & Fees Paid <br />LISPS <br />Permit No. G-10 <br />• Sender: Please print your name, address, and ZIP+4 in this box • <br />STATE OF COLORADO <br />DEPARTMENT OF NATURAL RESOURCES <br />DIVISION OF RECLAMATION, MINING AND SARr `SAN p 4 2010 <br />1313 SHERMAN STREET, SUITE 215 ?cian <br />DENVER,' COLORADO 80203 Divt$?n u1 K Sa <br />Miring and <br />,+,znnn(i0 Spec. <br />File # Zvi -?f?ti . tad-, <br />Certified Mail Provides: Spec, Qe:h <br />¦ Amailing receipt , Fide # M_,2a5-qrs. <br />¦ A unique identifier for your mailpiece -----:,.- <br />¦ A record of delivery kept by the Postal Service for two years <br />Important Reminders: <br />¦ Certified Mail may ONLY be combined with First-Class Maile or Priority Maile. <br />¦ Certified Mail is not available for any class of international mail. <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 Return Receipt service, please complete and attach a Return <br />Receipt (PS Form 3811) to the article and add applicable postage to cover the <br />fee. Endorse mailpiece "Return Receipt Requested". To receive a fee waiver for <br />a duplicate return receipt, a USPSe postmark on your Certified Mail receipt is <br />required. <br />¦ For an additional fee, delivery may be restricted to the addressee or <br />addressee's authorized agent. Advise the clerk or mark the mailpiece with the <br />endorsement "Restricted Delivery'. <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 />IMPORTANT: Save this receipt and present it when making an inquiry. <br />PS Form 3800. August 2006 (Reverse) PSN 7530-02-000-9047 <br />DRMS-1313 Sherman, Rrn 215, Denver, CO 80205 <br />U.S. Postal Service.,,, <br />CERTIFIED MAIL,. RECEW-r (Domesti <br />Io <br />Lc Mail 0,ri <br />a $0.44 <br />Postage: $2.80 <br />L Certified Fee: $2.30 <br />=?• r <br />-Vl <br />C3 Return Receipt Fee: <br />U i ;$5.54 <br />Total Postage & Fees <br />Postmarkl <br />E Re-., -,cept Fee <br />C3 (Endorsement Required) Here/.,J' <br />. <br />C3 <br />Restricted Delivery Fee <br />C3 (Endorsement Required) <br />r Total Postage & Fees $ <br />rl <br />sentro Billy Mack <br />C3 S{reet, 4 Moffat County Road and Bridge ----- <br />orPOBa 171- P .O. Box 667 <br />City Stab <br />Craig, Colorado 81626 <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 />Billy Mack <br />Moffat: County Road and Bridge <br />P.O. Box 667 <br />Craig, Colorado 81626 <br />A. Signature <br />X ? Agent <br />? Addressee <br />B. Received by (Printed Name) C. Dat o iver , <br />?+oa?? rtt?n} Y???r <br />D. Is delivery address different from item 1? /D 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 Delivery? (Extra Fee) <br />? Yes <br />2. Article Number <br />(transfer from service label) 7008 1140 0004 5 015 4 310 <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540