Laserfiche WebLink
<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 />(?, KLE Gl?i?S?>Di dGTS?i? <br />?. d. SOX V& <br />p4-c"PtW, Gd $vyVo <br />A. <br />X <br />B. Received by (Printed Name) C. Date of Delivery <br />D. Is delivery address different from 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 Delivery? (Extra Fee) ? Yes <br />Wgent <br />2. Article Number 7006 3450 0000 4880 8113 <br />(transfer from service label) <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 <br />UNITED STATES POSTAL. J?-,""' <br />is W _St: I: .<. <br />• Sender: Please print your name, address, and ZIP+4 716 his box • <br />STATE OF COLORADO' 4 <br />/ DEPARTMENT OF NATURAL RESOURCES <br />DIVISION OF RECLAMATION, MINING & SAFETY <br />1313 SHERMAN STREET, SUITE 215 <br />DENVER, COLORADO 80203 <br />341300000 <br />- <br />Spec. <br />File #Jy-i qa 5 - Oda <br />-- f <br />(Domestic Mail Only; No Insurance Coverage Provides <br />For delivery information visit our website at www.usps.come <br />N <br />0 I <br />CID $1.22 <br />CID Postage: $2:80 <br />?S <br />Certified Fee: oc? <br />C3 I Return Receipt Fee I" $2 0 <br />` ??? ti ?` <br />O Return <br />C3 (Endorseme Total Postage & Fees: $ti132 <br />t7 Restricted L_..__., . __ A\ t, /[8? 1 <br />(Endorsement Required) FJ <br />, <br />?- Total Postage & Fees $ <br />M <br />enr rq R Y <br />4e W54?N <br />or PO Box No. ./t y _ <br />Ciry, State, ZIP+4 -" <br />w 140 Al If0 <br />PS Form :3800, August 2006 <br />See Reverse for instructions <br />Certified Mail Provides: $peC. ?jll <br />¦ A mailing receipt ' <br />¦ A unique identifier for your mailpiec f He # /`'-191 -Qg3 <br />¦ A record of delivery kept by the Postal Service to, g(o'?ears ?¢. <br />Important Reminders ?(( tt <br />¦ Certified Mail may ONLY be combined with First-Class Mailo 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 provide proof <br />delivery. To obtain Return Receipt service, please complete and attach a Retui <br />Receipt (PS Form 3811) to the article and add applicable postage to cover tt <br />fee. Endorse mailpiece "Retum Receipt Requested". To receive a fee waiver ft <br />a duplicate return receipt, a USPS® postmark on your Certified Mail receipt <br />required. <br />¦ For an additional fee, delivery may be restricted to the addressee <br />addressee's authorized agent. Advise the clerk or mark the mailpiece with 0 <br />endorsement "Restricted-Delivery": <br />¦ If a postmark on the Certified Mail receipt is desired, please present the ar <br />cle at the post office for postmarking. If a postmark on the Certified Mt <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 o 3800, Au just 2006 (Reverse) PSN 7530-02-000-9047 <br />E?MS-13 3 Sherman, Rm 215, Denver, CO 80203