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■A Certified Mad receipt(t&pebn i 6. lece;include applicable postage to
<br /> SENDER: COMPLETE THIS SECTIO/V • Certified Mail label). cRRv e return receipt service fee,and
<br /> • • • ■A unique identifier for yoFil niece!►'!(Cj 7 oWd the mailpiece"Return Receipt
<br /> ■Electronic verification of delivery or attempted n ,d,"or see a retail associate for
<br /> ■ Complete items 1,2,and 3.Also complete A. Si ture delivery. (1061, assistance.For an electronic return receipt,
<br /> ■A record of delivery(including the recipient's see a retail associate for receipt,prey
<br /> Item 4 if Restricted Delivery is desired. receive a duplicate return receipt,present
<br /> ■ Print your name and address on the reverse �7 ent signature)that is retained by the Postal
<br /> �+i ❑Addressee Service°for a specified period. this LISPSthpostmarked Certified w P1ad
<br /> SO that We Can return the Card t0 you. receipt to the retail associate,who will '
<br /> eceived by(Pri d N4mV C. Date Del' ery Important Reminders: provide a duplicate return receipt for no
<br /> ■ Attach this card to the back of the mailpiece, 1 ! ,
<br /> or on the front if space permits. ■You may purchase Certified Mail service w,th additional fee.
<br /> First-Class Mad ,First-Class Package Restricted delivery service,which provides
<br /> 1. Article Addressed to: D. Is delivery address different from item 1? Yes Service",or Priority Mail"service. delivery to the addressee specified by name
<br /> If YES,enter delivery address below: — ■Certified Mail service is notavailable for or to the addressee's authorized agent.
<br /> international mail. Include applicable postageto coverthe
<br /> a Insurance coverage is notavad able far restricted delivery fee and endorse the
<br /> purchase with Certd;ed Mail serviea Nu l;:er, mailpiece"Restricted Delivery,"or see a
<br /> the purchase of Certified flail sei vice tln,a not retail associate for assistance.
<br /> Mr. Mark Dunsmoor change the insurance co,,eraga autmr, orally u To ensure that your Certified Mail receipt is
<br /> TB1� "'� formerly ■included with certain Pnoniv P,tall items accepted as legal proof of mailing,it should
<br /> For an additional fee,you ma,request the bear a LISPS postmark.If you would like a
<br /> Colorado East Bank & Trust 3. Service Type following services: postmark on this Certmed Mail receipt,please
<br /> 1515 Fortino Blvd ty -Return receipt service,which provides you present your Certified Mail item at a Post
<br /> ql Certified Mail® 13 Priori Mail Express- with a record of delivery(including the Office"for postmarking.If you don't need a
<br /> recipient's signature)Yi �/(S 1313 S os` "rk en t�s Certified Mail receipt,detach
<br /> Pueblo, CO 81008 ❑Registered ❑Return Receipt for Merchandise hardcopy return receipt di an bie , f' pan of this label,a fix it to thi
<br /> ❑ Insured Mail ❑Collect on Delivery version.For a hardcopy ((' ( .3ir'� e,apply appropriate postage,and
<br /> 4. Restricted Delivery? complete PS Form 3811,vw_six Av ,� $��pbS the mailpiece.
<br /> ry. (Extra Fee) ❑Yes Receipt;attach PS Form 3511 to your i;,lpoi1TANT:save this receipt for your records.
<br /> 2. Article Number
<br /> PS Form 3$I)0,July 2074(Reverse)PSN 7530-02-000-9047
<br /> (Transfer from service label) 7 014 2120 0001 7885 6385
<br /> PS Form 3811,July 2013 Domestic Return Receipt
<br /> rr
<br /> ED STATES POSTAL SERl1fCi'=�' - -�.,�, ,[F,.,,���L��=a�tassgy,i}•,..•. _
<br /> u s+trr 1 't�Ya„N,w
<br /> ItIYt�." ��
<br /> U.S. Postal Service'm • Sender: Please print your name, address, and ZIP+40 in this box*
<br /> MAIL"CERTIFIED .
<br /> o Ln '" riestIC Mail •nly
<br /> State of Colorado
<br /> m _ .
<br /> Department of Natural Resources
<br /> Lt1 Y a' ° ' Division of Reclamation, Mining&Safety
<br /> cc
<br /> CIO Return Receipt Fee: $2.700 1313 Sherman Street, Suite 215
<br /> ll Denver, CO 80203rZI �oG Spec f3a-(- t_aW
<br /> C3 (E, Total Postage & Fees: $6.465 File ,n jrg97,R;-7
<br /> C3 (E Postage:
<br /> $0.465
<br /> ru Certified Fee: $3.300
<br /> r-q 1 1 7 Total Postage I�QQ P Illliilllllllli:tllllrlllil:l:lltr;:Ir::IiII�I:rj:rrrlllllirlilrl
<br /> r" Mr. Mark Dunsmoor
<br /> � Sent To
<br /> TBK Bank, formerly ------
<br /> � Street&Apt.No.,
<br /> C:] or PO Box No. Colorado East Bank & Trust
<br /> city state:ziP+a ' 1515 Fortino Blvd
<br /> Pueblo, CO 81008
<br />
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