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S UNITED STATES POSTAL S CCEP ? <br />=No. ? I • Sender: Please print your name, address;rid ZIP <br />+4 in th]box <br />State of Colorado <br />Department of NaturalResources Division of Reclamation, Mining & Safety <br />1313 Sherman Street, Suite 215 <br />Denver, CO 80203 Spec nor 1 <br />File qi <br />- -__- -- f <br />- ti L !lf.ff ! tfitF ?tt f if F I'/t ft t! fit ilf! !7 ( <br />I <br />i <br />Certified Mail Provides: Postal Service,,, <br />¦ A mailing receipt Spec. µC`? CERTIFIED <br />MAIL,,, RECEIPT <br />¦ A unique identifier for your mailege_IkA ? ,per 2 .4 164 (Domestic <br />mail oniy; No insu <br />¦ A record of delivery kept by the od. t?,? { YPAfC ? <br />co rance Co verage Pro , . , <br />?n For delivery <br />Important Reminders: Rgoct- a • va -11 <br />¦ Certified Mail may ONLY be combined with First-Class Maile or Priority Mail& nj "Al" <br />¦ Certified Mail is not available for any class of international mail. u7 <br />¦ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For ' rr Postage: SCE STA 0,- $0.44 <br />valuables, please consider Insured or Registered Mail. <br />¦ For an additional fee, a Return Receipt may be requested to provide proof of ru Certified Fe cry $2.80 a <br />delivery. To obtain Return Receipt service, please complete and attach a Return 0 Rett Return Rec ee: <br />Receipt (PS Form 3811) to the article and add applicable postage to cover the 0 (Endorse 1 2.30 <br />fee. Endorse mailpiece "Return Receipt Requested". To receive a fee waiver for C3 i EB 2 3 2011 $ <br />a duplicate return receipt, a USPS® postmark on your Certified Mail receipt is Restrioti Total Posta o I <br />required. 0 (Endorse Fees: ti $5.54 <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 M <br />endorsement "Restricted Delivery". m Total Postage & Fees US P S <br />¦ If a postmark on the Certified Mail receipt is desired, please present the arti- sent o " <br />cle at the post office for postmarking. If a postmark on the Certified Mail , 'D I Mr. Jim Sutherland <br />receipt is not needed, detach and affix label with postage and mail. 0 _____ <br />t-3 Street,Apt 1Vo.;-----"--- S & S Aggregate Inc <br />IMPORTANT. Save this receipt and present It when making an Inquiry. _ r? or PO Box No. I <br />P.O. Box 216 <br />PS Form 3800, August 2006 (Reverse) PSN 7530.02-000.9047 CI%y sia j? Z%p+4 <br />-------- ----------------- <br />RMS-1313 Sherman 9m 915, Denver, CO 80203 Egnar, CO 81325 <br />D <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 mailpiecee <br />or on the front if space permits. <br />A. ignature <br />X Agent <br />mm?? ? Addressee <br />B. Received by (Printed Name) C. Date of Delivery <br />J <br />1. Article Addressed to: <br />D. Is delivery address different from item 1? ? Yes <br />If YES, enter delivery address below: ? No <br />Mr. Jim Sutherland <br />S & S Aggregate, Inc 3. Service Type <br />P.O. Box 216 ? Certified Mail ? Express Mail <br />Egnar, CO 81325 ? Registered ? Return Receipt for Merchandise <br />? Insured Mail ? C.O.D. <br />4. Restricted Delivery? (Extra Fee) ? Yes <br />2. Article Number 7008 3230 0002 7252 6285 <br />(Transfer from service labeo <br />Ps Form 3811, February 2004 Domestic Return Receipt 102595.02-M-1540 <br /> r <br /> <br /> <br />