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SECTIONU.S. Postal Service,,, SENDER: COMPLETE THIS SECTION COMPLETE THIS <br /> DELIVERY <br /> RECEIPT <br /> p CERTIFIED ■ Complete items 1,2,and 3.Also complete <br /> A. Si natu <br /> (Domesticil Only; item 4 if Restricted Delivery is desired. X Agent <br /> ri ■ Print your name and address on the reverse Addressee <br /> • so that we can return the card to you. B. Rece'ved by(Printed Name C. ate of Delivery <br /> p O F F ! C •I ;ALL ■ Attach this card to the back of the mailpiece, <br /> n or on the front if space permits. 1 `• _- � —r <br /> Postaoe $ s 1. Article Addressed to: D. Is delivery address different from item 1? ElYes <br /> Postage: e?- $0.465 --.__ If YES,enter delivery address below: �I No <br /> Certified Fee: $3.300 nark <br /> T.E.Allumbaugh <br /> Return Receipt Fee: $2.700 `e Crowley County <br /> 603 Main St.—Ste.2 <br /> n n _- Ordway,CO 81063 <br /> a Total Postage & Fees: $6.465 <br /> 3. Service Type <br /> 'j ❑Certified Mail' ❑ Priority Mail Express'" <br /> r Sent To ❑Registered ❑Return Receipt for Merchandise <br /> iipi:Mo� T.E.Allumbaugh ..Street, ------------•----------.•---.- El Insured Mail ❑Collect on Delivery <br /> or PO Box No. Crowley County 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> C <br /> -ZI--- - 603 Main St.—Ste.2 •-------------------------------- <br /> lty,State, P+� 2. Article Number <br /> Ordway, 81063 701,4 01,50 0000 91,38 931,8 <br /> Y (Transfer from service label). <br /> PS Form 3800,August 2006 See Reverse for Instructions <br /> PS Form 3811,July 2013 Domestic Return Receipt <br /> Postal <br /> CERTIFIED MAIL,,, RECEIPT <br /> • D Provided) <br /> UNITED STATES{ SERVICE First-Class Mail <br /> Maily;No insurance CoveragePostage&Fees Paid <br /> rq Er •,d� • 0� -,F='16 USPS <br /> • Permit No.G-10 <br /> .o <br /> rm-M Postana s - • Sender: Please print your name, address, and ZIP+4°in this box* <br /> Er j Postage: ! ,1 �� $0.465 <br /> M t <br /> � Certified Fee: $3.300 park _ <br /> 0 2.700 <br /> o Return Receipt Fee: $ <br /> State of CO - Dept. of Natural Resources <br /> o Division of Reclamation, Mining &Safety <br /> to 6.465 <br /> ,a Total Postage & Fees: MINERALS <br /> E3 1313 Sherman Street, Room 215 <br /> = Sent To Denver, CO 80203 M-1982-126 <br /> r_ _--------------- T.E.Allumbaugh •••----------------------------- 341 30000 30-day Grace letter <br /> p Street,Apt.No.; l County AME WHE AJW <br /> Crowe <br /> or PO Box No. Y ntY <br /> State,ZIP+i <br /> 603 Main St.—Ste.2 <br /> City, <br /> Ordway,CO 81063 <br /> PS Form :00 August 2006 see Reverse for instructions <br /> III11'IIl'III{{t111r1�II'1{�I{{{gill'II'II'Il1Il{'{��{i�llllllii' <br /> 1 <br />