2011-02-23_REPORT - M2002109 ‎(2)‎

• Permit No: M2002109
• IBM Index Class Name: REPORT
• Doc Date: 2/23/2011
• Doc Name: Returned Certified Mail Receipt
• From: A Blassi & Son Trucking & Earthmoving, Inc
• To: DRMS
• Media Type: D
• Archive: No

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UNITED STIATES POSTAL SERVICE
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• Sender: Please print your name, ac
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(dress, and ZIP+X in this box •
State of Colofado
Department of Natural Resources
Division of Reclamation, Mining & Safety
1313 Sherman Street, Suite 215
Denver, CO 80203
1111111111111
Certified Mail Provides:
¦ A mailing receipt , S eD, tix I
¦ A unique identifier for your mailple p ?`
¦ A record of delivery kept by the Igo 1e *vMf9dbMM l d
Important Reminders: R+rk- a -s 6- IN
• Certified Mail may ONLY be combined with First-Class Maile or Priority Mail.
¦ Certified Mail is not available for any class of international mail.
¦ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For
valuables, please consider Insured or Registered Mail.
¦ For an additional fee, a Return Receipt may be requested to provide proof of
'
delivery. To obtain Return Receipt service, please complete and attach a Return
Receipt (PS Form 3811) to the article and add applicable postage to cover the
fee. Endorse mailpiece "Return Receipt Requested To receive a fee waiver for
a duplicate return receipt, a USPS® postmark on your Certified Mail receipt is
required.
¦ For an additional fee, delivery may be restricted to the addressee or
addressee's authorized agent. Advise the clerk or mark the mailpiece with the
endorsement "Restricted Delivery".
¦ If a postmark on the Certified Mail receipt is desired, please present the arti-
cle at the post office for postmarking. If a postmark on the Certified Mail
receipt is not needed, detach and affix label with postage and mail.
IMPORTANT: Save this receipt and present It when making an Inquiry.
PS Fond 3800, August 2006 (Reverse) PSN 7530-02-000.9047
DRMS-1313 Sherman, Rm 215 Denver, CO 80203
¦ Complete items 1, 2, and 3. Also complete
item-4 if Restricted Delivery is desired.
¦ Print your name and address on the reverse
so that we can return the card to you.
¦ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
A. Signature
Spec?_
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111
I U.S. Postal Service,.
(Domestic CERTIFIED MAIL. RECEIPT
Only; No Insurance Coverage Provided)
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Postage:
A. FN
ru Certified Fee.
I.fi eturn eceip $2.80
R CFKEB?23 $0.44
o 7`otaf p $2.30
ostage O (Endo.-.__ f
0 Restricted Delivery Fee I 5'54
O (Endorsement Required) lisp
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rU Total Postage & Fees $
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o °<ll Mr. Anthony Blassi
A. Blassi & Son Trucking & Earthmoving, Inc.
r- -_I 38043 Cr 32.4
Trinidad, CO 81082
.PLForrn 3800, August 2006 See Reverse for Instructions
? Agent
X ? Addressee
B. Received by (Printed Name) C. Date of Delivery
141YTIfk 1v J` /l4/10A -?' //
D. Is delivery address different from item 19 ? Yes
If YES, enter delivery address below: 45 No
Mr. Anthony Blassi
A. Blassi & Son Trucking & Earthmoving, Inc. I
38043 Cr 32.4 { 3. Service Type
Trinidad, CO 81082 11 ? Certified Mail ? Express Mail
? Registered ? Return Receipt for Merchandise
? Insured Mail ? C.O.D.
4. Restricted Delivery? (Extra Fee) ? Yes
2. Article Number 7008 3230 0002 7252 6254
(Transfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540