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Postal Service"" COMPLETE <br /> CERTIFIED MAILO RECEIPT <br /> ••mestic Mail •nly ■ Complete items 1,2,and 3.Also complete A. Signatu <br /> item 4 if Restricted Delivery is desired. X / /,, ❑Agent <br /> r1 ■ Print your name and address on the reverse <br /> 0 Addressee <br /> r,� so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery <br /> AL r *�,,+ ■ Attach this card to the back of the mailpiece, <br /> * or on the front if space permits. <br /> Postage $ 9 � "'� D. Is delivery address different from item 1? ❑Yes <br /> a 1. Article Addressed to: <br /> Certified Fee � '/ If YES,enter delivery address below: ❑ No <br /> a 3 �' <br /> M Return Receipt Fee Pos"M' <br /> Herk <br /> j (Endorsement Required) L S4 Here <br /> Restricted Delivery Fee !w-' <br /> (Endorsement Required) Mr. Robert GIIIIS <br /> u q q7 �r 55r, Ames Construction, Inc. <br /> a Total Postage ,,Fees $ 3. Service Type <br /> u 18450 E. 28th Ave. 0 Certified Maih El Priority Mail Express'" <br /> T Sent To Mr. Robert Gillis Aurora, CO 80011 ❑Registered ❑ Return Receipt for Merchandise <br /> a ------------- � Insured Mail ❑ Collect on Delivery <br /> ------- ----------- <br /> Street <br /> Ames Construction, nc. <br /> or PO Box No. 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> city,state,-ZfF.; 18450 E. 28th Ave. ----- <br /> Aurora CO 80011 2. Article Number 7 014 212 0 0001 8040 0 316 <br /> (Transfer from service label) <br /> PS Form 3811,July 2013 Domestic Return Receipt <br /> UNITED STATES f"T -§ RVICE First-Class Mail <br /> Postal <br /> . o • `1:6 AUG ,116 Postage&Fees Paid <br /> MAIL LISPS <br /> Domestic111111 <br /> MailOnly PM Permit No.0-10 <br /> a <br /> o • Sender: Please print your name, address, and ZIP+46 in this box* <br /> o . <br /> — <br /> Postage $ �! ` <br /> IM State of Colorado <br /> eO 3 Department of Natural Resources <br /> Certified Fee 3 • <br /> � Postm rk <br /> [3 Return Receipt Fee J !.J Here Division of Reclamation,Mining&Safety <br /> C3 (Endorsement Required) L 1313 Sherman Street, Suite 215 <br /> C3 Restricted Delivery Fee O� \T <br /> C3 (Endorsement Required) Denver,CO 80203 tint Spec 6V, <br /> ry Ct File -04'/ <br /> r-:1 Total Postage 8 Fees <br /> rU ✓Yl /(!/ 4 4L <br /> [entTo Mr. Robert GillisNo., Ames Construction, Inc.O Box No. ----- 18450 E. 28th Ave. <br /> State,ZIP+4 <br /> Aurora, CO 80011 <br />