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UNITED STATES POSTAL SERVICE <br />Certified Mail Provides: Spec. gif s� S <br />a A mailing receipt G dd <br />• A unique identifier for your mailiiecrl I Ie <br />• A record of delivery kept by the Postal Service for two years <br />Important Reminders: <br />• Certified Mail may ONLY be combined with First -Class Mail® 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 service, please complete and attach a Return <br />fee. En t do Form <br />rrseinailp mailpiece "Return Receipt Request applicable '. To receive postage ee 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 />a 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 2006 (Reverse) PSN 7530 - 02.000 -9047 <br />DRMS - 1313 Sherman, Rm 215, Denver, CO 80203 <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, Room 215 <br />Denver, CO 80203 <br />7 ' . ?) <br />Spec gai ,b <br />File M' -03.1. <br />"11/,1 { , ] n�' t�( f j <br />littlrl. irli 1 Ill lli tiirillit , 1 IJtii } lit IIIII <br />r-1 <br />D <br />N <br />m <br />m <br />D <br />ru <br />ru <br />IT' <br />N <br />Retuml <br />(Endorsemei <br />Restricted r <br />(Endorsement Required) <br />Total Postage & Fees <br />Postage: <br />Certified Fee: 03 <br />Return Receipt Fee:L-, <br />SENDER: COMPLETE THIS SECTION <br />COMPLETE THIS SECTION ON DELIVERY <br />A. Signature <br />X <br />❑ AESdressee <br />C. -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 mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />Margaret Hale <br />14480 N. 74 Rd. <br />Montrose, CO 81401 <br />2. Article Number <br />(Transfer from service label) <br />PS Form 3811, February 2004 <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: 0 No <br />3. Service Type <br />D Certified Mail <br />❑ Registered <br />❑ Insured Mail <br />U.S. Postal Service,. <br />CERTIFIED MAILT. RECEIPT <br />(Domestic Mall Only, Na Insurance- Coverage Provided) <br />For delivery information visit our website at www.usps corn® <br />to of Delivery <br />Express Mail <br />❑ Return Receipt for Merchandise <br />❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) 0 Yes <br />7009 2820 0003 5701 4682 <br />Domestic Return Receipt <br />1 02595 -02 -M -1540 <br />\ <br />Total Postage & Fees� <br />o <br />First -Class Mail <br />Postage & Fees Paid <br />USPS <br />Permit No. G -10 <br />Sent To <br />Street, Apt. No.; <br />or PO Box No. <br />City, State, ZIP +4 <br />Margaret Hale <br />14480 N. 74 Rd. <br />Montrose, CO 81401 <br />PS Form 3800. August 2006 <br />See Reverse for Instructions <br />