2011-06-27_ENFORCEMENT - M1987024 (2)

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iZt ) Ltil'-Mea Zitezyir / y Certified Mail Provides: Spec. 6 5s5 • A mailing receipt • A unique identifier for your mailpieceFi le # t1 d. - 19'$ - p y • A record of delivery kept by the Postal Service for two years Important Reminders: 3 tQa7 '.-t} Ie ` 27- I J • Certified Mail may ONLY be combined with First -Class Mail® 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 Form 3800, August 2006 (Reverse) PSN 7530-02 -000 -9047 DRMS - 1313 Sherman, Rm 215, Denver, CO 80203 SENDER: COMPLETE THIS SECTION • 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: Washington International Insurance Comp :49 475 N. Martingale Road, Suite 850 Schaumburg, Illinois 60173 2. Article Number (Transfer from service label) PS Form 3811, February 2004 UNITED STATES POSTAL SERVICE ✓/ • Sender: Please print your name, address, and ZIP +4 in this box 611 State of Colorado Department of Natural Resources Division of Reclamation, Mining & Safety 1313 Sherman Street, Room 215 Denver, CO 80203 Spec VSS File IA- l 8r yicrut.evut,st Co - 7- I f A. Signature X For delivery information visitour website at www.usps.com® D. Is delivery ad °Tess different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No 3. Service Type ❑ Certified Mail ❑ Registered ❑ Insured Mail 1111111111113 nil t O N rte/ D N u7: m ; ED nJ ru O D r- 4. Restricted Delivery? (Extra Fee) Total Postage & Fees ❑ Express Mail ❑ Return Receipt for Merchandise ❑ C.O.D. 7009 2820 0003 5701 4750 Domestic Return Receipt II 1Ithr IIII:II rIS, It 11111 11111 Postal Servicetn, RTIFIED MAILTM RECEIPT Domestic Mait No Insurance Coverage Provided Postage: Certified Fee: ° Return Receipt Fee : ,, Total Postage & Sent To Street, Ai Washington International Insurance Company or PO Bo. 475 N. Martingale Road, Suite 850 city, star; Schaumburg, Illinois 60173 PS Form 3800. August 2006 See Reverse for Instructions ❑ Agent ❑ Addressee C. Date of Delivery ' /7 r ❑ Yes 102595 - 02 - M - 1540 First -Class Mail Postage & Fees Paid LISPS - Per"mit No-G -10 •r$U44 $2:85 $2 mark e5 ` 59 ere