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Tamrock Gravel LLC. <br />PERMIT # M- 2012 -023 <br />PROOF OF DELIVERY - Adjoining owners <br />June 26, 2012 <br />SENDER: COMPLETE THIS SECTION <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 retum the card to you. <br />• Attach this card to the back of the maiipiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />Brian C. Tamburelli <br />404 Walnut <br />Trinidad, CO 81082 <br />2. Article Number <br />(Transfer from service labeq <br />PS Form 3811, February 2004 <br />4 <br />r <br />• Complete.lterrjs 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 retum the card to you. <br />• Attach this card to the back of the maiipiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />Pioneer Natural Resource <br />USA, Inc. <br />1401 17th St, Suite 1200 <br />Denver, CO 80202 <br />2. Article Number <br />(Hensler from service label) <br />PS Form 3811, February 2004 <br />Domestic Retum Receipt <br />Domestic Retum Receipt <br />COMPLETE THIS SECTION ON DELIVERY <br />1 <br />X <br />❑ Agent <br />❑ Addressee <br />C. Date of Delivery <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Type <br />Certified Mail <br />❑ Registered <br />❑ Insured Mail <br />4. Restricted Delivery? (Extra Fee) <br />3. Se ce Type <br />Ii Certified Mall <br />❑ Registered <br />❑ Insured Mail <br />7010 2780 0002 1654 0047 <br />❑ Express Mall <br />❑ Retum Receipt for Merchandise <br />❑ C.O.D. <br />- 7010 2780 0002 1654 0016 <br />❑ Yes <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />102595 <br />SENDER: COMPLETE THIS SECTION <br />COMPLETE THIS SECTION ON DELIVERY <br />❑ Express Mail <br />❑ Retum Receipt for Merchandise <br />0 C.O.D. <br />102595 -02-M -1540 <br />Shot Rock Pit <br />