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2011-03-23_REVISION - M1983011 (3)
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2011-03-23_REVISION - M1983011 (3)
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Entry Properties
Last modified
8/24/2016 4:32:01 PM
Creation date
4/21/2011 9:28:51 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1983011
IBM Index Class Name
REVISION
Doc Date
3/23/2011
Doc Name
Returned Certified Mail Receipt
From
Jelen & Son, Inc.
To
DRMS
Media Type
D
Archive
No
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p UNITED STATES POSTAt-S E <br />?`A <br />?et?,(1+1? (1t ?• ?t e? b.ew:l_ ? . X.1 <br />a-Pr( 8?F <br />ijAAI <br />• Sender: Please print your name, address, and ZIP+4 in this box • <br />State of Colorado <br />Department of Natural Resources <br />Division of Reclamation, Mining & Safety <br />1313 Sherman Street, Suite 215 Mi° l <br />Denver, CO 80203 Spec,S?S <br />?.. _ - File <br />I <br />Certified Mail Provides: Spec. ? <br />¦ A mailing receipt ? I ? 3 ?' I <br />¦ A unique Identifferforyour mallpiete i? <br />9'e ¦ A record of delivery kept by the Posts i a n8 c <br />Important Reminders: ReJ ? bN trA 3 -23 - ? ? <br />¦ Certified Mail may ONLY be combined with First-Class Mai6 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 requestedato rovide proof of <br />delivery. To obtain Return Receipt service, please complete rk attach a Return <br />Receipt (PS Form 38112 to the article and add applicable postage to cover the <br />fee. Endorse mallpiece Return R ipt Requested'. To receive a fee waiver for <br />a duplicate return receipt, a USP 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 2008 (Remrm) PSN MO.02-ppu.Spg7 r <br />ORfu ,-1313 Sherman, Rm 215, Denver, CO 80203 <br />¦ Complete items 1, 2, and1 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 mailple <br />or on the front if space permits. <br />1. Article Addressed to: 4 <br />Kay Blecha <br />Jelen & Son, Inc. <br />P.O. Box 103 <br />Castle Rock, CO 80104 <br />M <br />a Nit <br />• <br />r Postage: <br />M Certified F <br />ee: <br />Return Receipt Fee: <br />Tl <br />R Total Postage & Fees, ' __a <br />ti S r' <br />Restricted Delivery Fee <br />(Endorsement Required) - <br />r <br />$1.22 <br />$2.80 <br />$2.30 <br />Total Postage & Fees p, 0 <br />?? <br />-1 Cb <br />D Lse: <br />Kay Blecha `? <br />? •,?... Lam" <br />Jelen & Son, Inc. SPS - ---- <br />P.O.Box 103 Castle Rock, CO 80104 ----------• <br />ro <br />Af igrfature <br />? Agent <br />? Addressee <br />eceived by. (Printed N e) C. to of Delivery t <br />D. Is delivery address different from item 1? ? Yes <br />If YES, enter delivery address below: ? No <br />3. Se ice 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 />2. Article Number _ <br />(Transfer from service 18W <br />PS Form 3811, Peery ?*@' <br />7008 1140 0003 4437 731: <br />ri3o rr3'®thca R??pF' <br />rr <br />k. <br />?'$5?5.64?
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