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<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 <br />Denver, C0 80203 Spec - <br />File m 144b-13 `1! <br />II11I.II11111I Ii -I 1 1111 t I 1111 1/111111 r 1111161-, t I 1 t 1 11111111 I II <br />Certified Mail Provides: t?r <br />¦ A mailing receipt Spec. ., <br />¦ A unique identifier for your mailp?;q? # t q? +1 <br />¦ A record of delivery kept by the R-o?tlf 3ervi or?d b rs i <br />tnrportantReminders.- Z?DCV 5-zy-1, <br />¦ Certified Mail may ONLY be co bind with First-Class Maile or Priority Maile. <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 Retum Receipt may be requested to provide proof of <br />III <br />delivery. To obtain Return Receipt service please complete and attach a Return <br />Receipt (PS Form 3811) to the article and add applicable postage to cover the ; <br />fee. Endorse mallpiece Return Receipt Requested'. To receive a fee waiver for <br />a du Ucate return receipt, a USPSe postmark on your Certified Mail receipt is <br />req,Fred. <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, lease present the arti- <br />cle at the post office for postmarking. If a post 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 />D X10 601203 <br />(Domestic Mail G <br />1 For delivery inform; <br />Postage: <br />?-; Certified Fee: <br />M Return Receipt Fee: <br />q <br />H Total Postage & Fees: <br />"I' <br />ra Total Postage & Fees <br />ra <br />Co Sent To <br />i <br />C3 JAMES H & KATHLEEN H ROSS <br />a $`freet, Apt N <br />r%_ or PO Box No, 5529 HIGHWAY 394 <br />City F5, y/1 CRAIG, CO 81625 <br />i <br /> <br />SENDER: COMPLETE THIS SEC-i-ION <br />COMPLETE <br />TI-IIS SECTION ON DELIVERY <br />¦ Complete items 1, 2, and 3. Also complete A. Sign ure <br />item 4 if Restricted Delivery is desired. a Z ? Agent <br />¦ Print your name and address on the reverse ^? 1 ? Addressee <br />so that We can return the card to you. <br />¦ Attach lio card to the back of the mailplece, g. Recei d by (Printe Name) (P. Date of Delivery <br />\ \ <br />.. <br />or on ont if space permits. , <br /> <br />1. Article Ad ressed to: D. Is delivery address different from item 1? ? Yes <br /> If YES, enter delivery address below: ? No <br />JAMES ,H & KATHLEEN H ROSS <br />5529 HIGHWAY 394 3. Service Type <br />CRAIG, CO 81625 ? 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 />7008 <br />1140 0003 4437 6507 <br />(Transfer from service label) <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 ' <br /> <br /> <br />UNITED STATES POSTAL SERVICE First-Class Mail <br />Poe & Fees Paid <br />?CE:Q stag <br />Permit No. G-10 <br />$0.44 <br />$2;85 <br />$2460 stmark <br />11 Here <br />$5.59