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SENDER:CONIPLETE THIS SECTION COMPLETE • ON DELIVERY <br /> t ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. n , Agent <br /> ■.Print your name and address on the reverse K �. Addressee <br /> so that we can return the card to you. B Received by(Pntt.DName) C. Da e D livery <br /> ■ Attach this card to the back of the mailpiece,or on the front if space permits. i- ��� ` <br /> D. Is delivery a ress different from item 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: 0 No <br /> -1 <br /> Ronald L. Barrier <br /> P.O_ Box 3 <br /> Alamosa,lqg�81101 <br /> 3. Service Type <br /> 0 Certified Mail' 0 Priority Mail Express'" <br /> ❑Registered ❑Return Receipt for Merchandise <br /> ❑ Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7 010 1060 0001 0936 1335 <br /> (transfer from service label)PS Form Form 3811,July 2013 Domestic Return Receipt <br /> UNITED STATESOWARVICE First-Class Mail <br /> Postage&Fees Paid <br /> USPS <br /> A F: 8 '16 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-1994-081 <br /> 34130000 <br /> 30-day grace letter <br /> SJM GRM AJW <br /> !��'liiluiill!!'f lririirlrli�rfrliiy{Ilili'�ilirlrriifl�iili(�l <br /> Postal <br /> CERTIFIED MAIL... RECEIPT <br /> -2- (Domestic Mail . No Insurance Coverage <br /> r%- <br /> rU For delivery information visit our website at www.usps.com.- <br /> _ 77'' Certified Mail Provides: M-1994-081 MV-2016-114 <br /> m $� 495 ■ Amailing receipt NOV Letter <br /> cr, ■ A unique Identifier for your mailpiece' SJM GRM AJW <br /> t3 postage U 45 ■ A record of delivery kept by the Postal Service for two years <br /> o Re Certified Fee: �a� 6 Important Reminders: <br /> (Endosst Return Receipt Fe ,L kq,� ■ Certified Mail may ONLY be combineti with Firsf-Class Mailm or Priority Mail®.; <br /> r3 Restrict Q 3 ■ Certified Mail Is not available for any class of international mail. <br /> (Endorse �cd6 ^ ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For j <br /> ten Total Postage 8,F a' valuables,please consider Insured or Registered Mail. <br /> .- <br /> ■ For an additional fee,a Return Receipt may be requested to rovide proof of <br /> Totel Pc _ _.�a �S a��': 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 /> _ <br /> Sent To fee.Endorse mailpiece Return Receipt Requested".To receive a fee waiver for <br /> E3 Ronald L. Barrier - a duplicate return receipt,a USPS®postmark on our Certified Mail receipt is <br /> - A ----• - - required. <br /> ra sneer,Apt No.; P.O. Box 3 <br /> O addressee's authorized a e Advise the clerk or mark the mailpiece the <br /> or PO sox No. Alamosa, CO 81101 ■ For an additional fee, delivery may be restricted to the addressee or <br /> (`- <br /> City,State,ZIP+4 <br /> endorsement"Restricted elivery'. pp <br /> ■ Isle at the post office he torfposrtl- <br /> tmMail <br /> rk rig iplfla dpostmarklonsther Certifred Mail 4 <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 />