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•M%ETE THIS SECTION COMPLETE • ON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Signat <br /> item 4,11'Restricted Delivery Is desired. ( ✓�� ❑Agent <br /> ■ Print your name and address on the reverse �[ ❑Addressee <br /> so that we can return the card to you. B\R,ec�'ved by(P* ed Name) C. Da e o Deli ery <br /> ■ Attach this card to the back of the mailpiece, `E �f-� i P G— Y' <br /> or on the front if space permits. <br /> D. Is delivery address different m item 1? ❑Yes i <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑No <br /> x- <br /> Bett*iolley <br /> H&RStone <br /> P.O.Box 246 <br /> Dove ree"0 81324 <br /> 3. Service Type <br /> ❑Certified Mail ❑Express Mail <br /> ❑Registered ❑Return Receipt for Merchandise <br /> ❑Insured Mail ❑C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7011 3500 0002 9605 7611 <br /> (Transfer from smice labeq ---------___ ----------_—---- _ ____ - <br /> UNITED STATES POSTAL SERVICE First-Class Mail <br /> Postage&Fees Paid <br /> USPS <br /> Permit No.G-10 <br /> • Sender: Please print your name, address, and ZIP+4 in this box • <br /> State of CO -Dept. of Natural Resources <br /> Division of Reclamation, Mining&Safety <br /> MINERALS <br /> 1313 Sherman Street, Room 215 <br /> Denver, CO 80203 M-1998-080 MV-2016-005 <br /> 34130000 NOV Letter <br /> LJW GRM AJW <br /> M-1998-080 MV-2016-005 <br /> Certified Mail Provides: NOV Letter <br /> ■ A mailing receipt LJW GRM AJW <br /> ■ A unique identifier for your m <br /> ■ A record of delivery kept by the �a rl fi Ir ii I lunri r irl ! Ir <br /> 1 ii I iii I u n i11 i f i <br /> Important Reminders: <br /> ■ Certified Mail may ONLY be combined with First-Class Mail®or Priority Maile. <br /> ■ Certified Mail is not available for any clas's 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 /> Receipt(PS Form 3811)to the article and add applicable postage to cover the <br /> fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for <br /> a duplicate return receipt,a USPSo postmark on your Certified Mail receipt is <br /> required. Postal _ <br /> ■ For an additional fee, delivery may be restricted to the addressee or ' RECEIPT <br /> addressee's authorized agent.Advise the clerk or mark the mailpiece with the <br /> endorsement"Restricted Delivery". • <br /> n1Y;No Insurance Coverage Provide <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 /> PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047 Postana $ <br /> 11RMS-13,1 3 Sherman, Rm 215,Denver,CO SM Postage: <br /> ru = <br /> o R8t Certified Fee: $3.45 <br /> O (Endorse <br /> C3 Restrict Return Receipt Fee: $Z-.80 <br /> (Endorse <br /> O <br /> eta <br /> in TOW F Total Postal;e & Fees: I $6.73�" <br /> m ' <br /> Sent To ------------------------ <br /> " <br /> Sfreei,itpt IVo:; Betty Holley <br /> or PO Box No. H&H Stone <br /> City State,ZIP+4 P.O.Box 246 '-'- ------ <br /> Dove Creek,CO 81324 <br /> PS Form :0e August 2006 See Reverse for instructions <br />