UNITED STATES POSTAL SERVICE F#rSfitqS
<br /> Ss e& yes Aid
<br /> TM
<br /> U.S. Postal Service Pem
<br /> .�
<br /> CERTIFIED
<br /> o
<br /> RECEIPT
<br /> Domestic Mail Only Sender: Please print your name, address,and ZIPW in this box'
<br /> ru
<br /> State of Colorado
<br /> co Postage: $0.675 Department of Natural Resources
<br /> r- Zertified Fee: $3.300
<br /> o Return Receipt Fee: � $2.700 Division of Reclamation,Mining&Safety
<br /> 1313 Sherman Street, Suite 215
<br /> C3 (Enck
<br /> Denver, CO 80203 30-day-075
<br /> letter
<br /> o (E dsTotal Postage and Fees, $6.675 MAC wwE A.,w
<br /> ru
<br /> Total Postage&Fees s
<br /> ru
<br /> Sent To
<br /> Alvin
<br /> p Street& pt.No., Alvin Mosch-Patricia Moc
<br /> or PO Box No. Phoenix Gold Mine
<br /> - P.O.Box 3236 ----------------
<br /> City,State,Z1P+4 - -
<br /> Idaho Springs,CO 8p4.52
<br /> PS Form 3800,July 2014 See Reverse for In tructions Certified Mail ,;Aa +fin+ol#owing benefits:
<br /> ■A Certified Mad recei M-1 982-075
<br /> Certified Mail label). ��Y Grace letter piece;include applicable postage to
<br /> r the return receipt service fee;and
<br /> ■A unique identifier fo l MAC WHE AJW rse the mailpiece"Return Receipt
<br /> ■Electronic verification o, „�,,�,o„�,,,r �u ,.wrested,"or see a retail associate for
<br /> delivery. assistance.For an electronic return receipt,
<br /> ■A record of delivery(including the recipient's see a retail associate for assistance.To
<br /> signature)that is retained by the Postal receive a duplicate return receipt,present
<br /> Service'for a specified period. this USPS'-postmarked Certified Mail
<br /> receipt to the retail associate,who will
<br /> Important Reminders: provide a duplicate return receipt for no
<br /> COMPLETE SECTION ON You may purchase Certified Mail Package
<br /> with additional fee.
<br /> SENDER: • • Service",
<br /> First-Class Made,RrMaiP ss Package -Restricted delivery service,which provides
<br /> Service',or Priority Mail service. delivery to the addressee specified by name,
<br /> ■ Complete items 1,2,and 3.Also complete A. Signatur ■Certified Mad service is notavadable for
<br /> p P or to the addressee's authorized agent.
<br /> item 4 if Restricted Delivery is desired. ❑Agent international mail, Include applicable postage to cover the
<br /> ■ Print your name and address on the reverse X ❑Addressee Insurance coverage is not available for restricted delivery fee and endorse the
<br /> purchase with Certified Mail service.However, mailpiece"Restricted Delivery,"or see a
<br /> so that we can return the Card to you. B. Received by(Printed Name) C. Date of Delivery the purchase of Certified Mail service does not retail associate for assistance.
<br /> ■ Attach this Card to the back of the mailpiece, change the inswance coverage automatically ■To ensure that your Certified Mail receipt is
<br /> or on the front if space permits, included with certain Priority Mail items, accepted as legal proof of mailing,it should
<br /> D. Is delivery address different from item 1? ❑Yes For an additional fee,you may request the bear a LISPS postmark.If you would like a
<br /> following services: postmark on this Certified Mail receipt, lease
<br /> 1. Article Addressed to: If YES,enter delivery address below: ❑ No p p
<br /> rY -Return receipt service,which provides you present your Certified Mail item at a Post
<br /> Alvin Mosch re
<br /> Alvin Mosch-Patricia Mosch
<br /> Phoenix Gold Mine
<br /> P.O.Box 3236
<br /> ldaho,.5prings,CO 80452 NOV 18 201 3, service Type
<br /> f ©Certified Mail® ❑Priority Mail Express-
<br /> 'is_ El Registered ❑Return Receipt for Merchandise
<br /> -. ❑ Insured Mail ❑Collect on Delivery
<br /> 4. Restricted Delivery?(Extra Fee) ❑Yes
<br /> 2. Article Number 7014 2120 0001 7885 2714
<br /> (Transfer from service label)
<br /> PS Form 3811,July 2013 Domestic Return Receipt
<br />
|