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1. Article Addressed to: <br />Judy DeVincentis <br />Western Gravel, Inc. <br />3001 N. Townsend Ave. <br />Montrose, CO 81401 <br />' 2. Article Number <br />(Transfer from service labe0 <br />PS Form 3811, February 2004 <br />_ PS Form 3800, August 2006 (Reverse) PSAL7530:02 .000.3 047�er, CO 802 3 <br />DRMS -1313 Sherman, Rm 21I uU @efrll <br />❑ A unique e mailing receipt Fil e <br />N A unique identifier for your mailpiece <br />▪ A record of delivery kept by the Postal Service for two years <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 />Certified Mail Provides: SpeC._ Cgot. 55� <br />UNITED STATES POSTAL SERVICE <br />O <br />Important Reminders: Sry s-t k- q •29 _a <br />m Certified Mail may ONLY be combirred with First -Class Mail® or Priority Mail®. ,-R <br />® Certified Mail is not available for any class of intemational mail. o <br />or NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For N <br />valuables, please consider Insured or Registered Mail. <br />® For an additional fee, a Retum Receipt may be requested to provide proof of <br />delivery. To obtain Retum 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 mailpiece "Retum Receipt Requested ". To receive a fee waiver for <br />a duplicate return receipt, a USPS® postmark on your Certified Mail receipt is <br />required. <br />m 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 />Domestic Return Receipt <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 />2.M.bcrl & I `I• • 2?-11 <br />3. Service Type <br />❑ Certified Mail <br />❑ Registered <br />❑ insured Mail <br />111 1111 11 } I t 11111111 t1111111ititi}Itllt <br />m <br />O <br />0 <br />See Reverse for Instruchons <br />4. Restricted Delivery? (Extra Fee) <br />7009 2820 0003 5701 4910 <br />Foirdelry ry of ro matron visit our website www asps corn; <br />, Postage: <br />Return Certified Fee: <br />(EndorsemE Return Receipt Fee: <br />Restricted J} <br />(Endorseme <br />Total Postage & Fee P. <br />Total Postage a, rees 43 <br />Sent To <br />Street, Apt. No., <br />or PO Box No. <br />City, State, ZIP4-4 <br />SENDER: COMPLETE THIS SECTION <br />COMPLETE THIS SECTION ON DELIVERY <br />Al , - <br />B. Received by (Printed Name) <br />D. Is delivery address different from item 1? <br />If YES, enter delivery address below: <br />nt <br />Addressee <br />Yes <br />❑ <br />❑ Yes <br />ery <br />❑ Express Mail <br />❑ Return Receipt for Merchandise <br />❑ C.O.D. <br />102595.02 -M- 1540 <br />Judy DeVincen <br />Western Gravel, Inc. <br />3001 N. Townsend Ave. <br />Montrose, CO 81401 <br />First -Class Mail <br />Postage & Fees Paid <br />USPS <br />Permit No. G -10 <br />.. - $0.44 <br />$2.85 <br />$2 ; 30 <br />t$;5 <br />