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X <br />m ti'v? <br /> <br />• Sender: Please print your name, address, and ZIP+4 in this box • <br />Spec VU-0,, !6S <br />File +M? <br />Ir •. ?. • <br />co <br />rU <br />L <br />LLn Postage: <br />r Certified Fee: <br />rtJ deJ <br />Return Receipt Fee: <br />F <br />C3 (Endo Rest, Postage & Fees: <br />C3 (Endorsemni a r.ay,.^,,., <br />M <br />1= <br />rU Total Postage & Fees <br />m <br />enr o Kay Blecha <br />23 [61ty, treec%?ptao.;° Jelen & Son, Inc. <br />O r PO Sox No. P.O. Box 103 <br />state. ZIP+4 Castle Rock, CO 81403 <br /> <br /> <br />Certified Mail Provides: Spec. D(V a 5aiS <br />¦ A mailing receipt -2- <br />¦ A unique identifier for your mailFrite. M .. ? Rg3-? ? 1 <br />¦ A record of delivery kept by the ppostal ?_•,•?1 <br />ImportantRemindersz ?1 f0•.T r-10 <br />¦ Certified Mail may ONLY be combined with First-Class Maile or Priority Mail <br />¦ Certified Mail is not available for any class of international mail. <br />¦ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. R <br />valuables, please consider Insured or Registered Mail. <br />1111 For an additional fee, a Retum Receipt may be requested to provide proof c <br />delivery. To obtain Return Receipt service, please complete and attach a Retur <br />Receipt. (PS Form 3811) to the article and add applicable postage to cover th <br />fee. Endorse mailpiece "Return Receipt Requested". To receive a fee waiver to <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 'c <br />addressee's authorized agent. Advise the clerk or mark the mailpiece with th <br />endorsement "Restricted Delivery". <br />¦ If a postmark on the Certified Mail receipt is desired, please present the arti <br />cleat the post office for postmarking. If a postmark on the Certified Ma <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 />ORM1313 Sherman, Rm 215, Denver, CO 8000 <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 />fill Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />UNITED STATES POSTAL SERVICE <br />State of Colorado <br />Department of Natural Resources <br />Division of Reclamation, Mining & Safety <br />1313 Sherman Street, Suits 215 <br />Denver, CO 80203 <br />SECTION COMPLETE THIS ON DELIVERY <br />A. Signature r'i `' ?1p <br />? Agen <br />X ? Addr <br />ceived b Prinled Name) i ?- C. at ?f ve o , <br />D. Is de very address different from' e ? ? Yes <br />If YES, enter delivery address bel U <br />3. Service Type <br />? Certified Mail El Express Mail <br />[3 Registered [3 Return Receipt for Merchandise <br />[] Insured Mail ? C.O.D. <br />4. Restricted Delivery? (Extra Fee) ? Yes <br />Kay Blecha <br />Jelen & Son, Inc. <br />P.O. Box 103 <br />Castle Rock, CO 81403 <br />2. Article Number <br />(transfer from service labeo <br />7008 3230 0002 7253 1289 <br />PS Form 3811, February 2004 Domestic Return Receipt <br />102595-02-M-1540 <br />First-Class Mail <br />Postage & Fees Paid <br />USPS <br />Permit No. G-10