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McAtee Construction Co. <br />Green Bros. Pit #2 <br />M.L.R.B. Permit # M- 1995 -030 <br />Proof of Adequacy Review Delivery to County Clerk <br />n <br />m <br />u'1 <br />-n <br />rU <br />D <br />D <br />D <br />r- <br />nJ <br />r� <br />1. Article Addressed to: <br />2. Article Number <br />(Ilansfer from service label) <br />U.S. Postal Service <br />CERTIFIED MAIL.., RECEIPT <br />(Domestic Mail Only; No Insurance Coverage Provided) <br />For delivery information visit our website at www.usps.com0, <br />MOM <br />1111161 Postmarll" <br />awl ` � Here 0 <br />1111111101 4ritt <br />INIELI CO 800 <br />Postage <br />Certified Fee <br />Return Receipt Fee <br />(Endorsement Required) <br />Restricted Delivery Fee <br />(Endorsement Required) <br />Total Postage & Fees <br />Sent To <br />Street, Apt. No.; <br />or PO Box No. <br />City, State, ZIP +4 <br />kio ;g,an .County Clerk & <br />Recorder <br />P.O. Box 1399 <br />231 Ensign Street <br />Fort Mor an CO. 80701 <br />PS Form 3800. August 2006 <br />See Reverse tor Instructions <br />SENDER: COMPLETE THIS SECTION <br />COMPLETE THIS SECTION ON DELIVERY <br />A. Signature <br />❑ Agent <br />❑ Addressee <br />C. Date of Delivery <br />L�ll 1 . Ai AO <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 />Morgan County Clerk & <br />Recorder <br />P.O. Box 1399 <br />231 Ensign Street <br />Fort Morgan, CO. 80701 <br />PS Form 3811, February 2004 Domestic Return Receipt <br />November 13, 2012 <br />D. Is delivery address different from Rem 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />*Certified Mall ❑ Express Mall <br />❑ Registered ❑ Retum Receipt for Merchandise <br />❑ Insured Mall ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) <br />7010 2780 0002 1654 0139 <br />❑ Yes <br />102595.02.M -1540 <br />