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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 />