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<br /> <br />vr\ <br /> <br /> <br />r1fr1ltrrrtirtltrrt+t!!r?rlefrrlrirlrrltrllrrlirrtirlrrftir <br />Certified Mail Provides: Spec, t^ <br />¦ A mailing receipt <br />¦ A unique identifier for your mailpieceFq ?3' ?O <br />¦ A record of delivery kept by the Postal o <br />Important Reminders: -va-r }' ! Z • 1 L-1 ?j <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. 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 seance, 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 USPS® 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 200e (Reverse) PSN 7&30-M-000-9047 <br />ORMS-1313 Sherman, Rm 215, Denver, CO 80203 <br />¦ Complete items 1, 2, and 3. Also complete A. <br />item 4 if Restricted Delivery is desired. X <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 />?V <br />BETTY HOLLEY <br />H&HSTONE <br />P.O. BOX 162 <br />DOVE CREEK, CO 81324 <br />UNITED STATES POSTAL SERVICE <br />M <br />LISPS <br />• Sender: Please print your name, address, and ZIP+4 in this box • 1 <br />state of Colorado <br />Department of Natural Resources <br />Division of Reclamation, Mining & Safety <br />1313 Sherman Street, Suite 215 <br />Denver, CO 80203 Spec µr 1 <br />File kn Z) <br />(Printed <br />D. Is delivery addre <br />If YES, errter ilk <br />N <br />`O <br />a- (Domestic Maii Oniy; No Insurance Coverage Provided) <br />R. T. <br />M . r r <br />M ' <br />rn Postage: -$0.44 <br />ru <br />Certified Fee: r/ $2.80 <br />Return Receipt Fee,.:?t $2:30 <br />O ?t?,,'? {{ OE 1 <br />C3 (Endorsem Total Postage & Fietl D t i 5?4 <br />Restrictet <br />Q (Endorsement Hegwrea) <br />? - <br />M m M Total Postage & Fees <br />,? Sent Td <br />o BETTY HOLLEY <br />C3 srReW_, t ....; H & H STONE °• •- - <br />t`- or PO Box No. P O BOX 162 <br />ciiy siaie, Z06 4 DOVE CREEK, CO 81324 "" ' -""°` <br />PS Form 3800, Augy."R"? See Reverse for Instructions <br />11 Agent <br />El Addressee <br />C. Date of Delivery <br />` <br />different from item 1? ? Yes <br />ft ,address below: [3 No <br />' <br />3. I 'We <br />ail Express Mail <br />? Regis 1/3 Return Receipt for Merchandise <br />? Insured Mail 11 C.O.D. <br />4. Restricted Delivery? (Extra Fee) 11 Yes <br />2. Article Number 7008 3230 0002 7253 3498 <br />(Transfer from service /abeg <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 <br />First-Class Mail <br />Postage & Fees Paid <br />Permit No. G-10 <br />