2016-11-21_GENERAL DOCUMENTS - M2011021

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UNITED STATES POSTAL SERVICE = First=Class Mau___ ' -Poo#age&Fees PaU.S. Postal Service TI - - •, ° ' Sender: Please print your name, address, and ZIP+41 in this box° N mestic Mail Only -� State of Colorado � �- , $0.675 Department of Natural Resources ostage: $3.300 Division of Reclamation, Mining& Safety ,q .ertified Fee: $z 700 1313 Sherman Street, Suite 215 o (Enteturn Receipt Fee: Denver, CO 80203 � Spec �v� o Re File C (End $6.675 Vq_ !)!l da-f ru otal postage and Fees: r-3 Total Postage&Fees I$ " Sent To Ms Christy Eskew . TBK Bank, formerly srieeiaaPr.Nio.,' Colorado East Bank&Trust or Po eox No. r_ ___ ... ___... ________ 1030 Male Street crry srate,ziPa Certified Mail service provides the following benefits: P O Box 32 ■A Certified Mail receipt 6-ecron 0 j Springfield, CO 81073 p it a include applicable postage to efee,and Certified Mail label). cover he return receipt service fee,and ■A unique identifier for y(Fil-elprio-11` 010 ndorsethemailpiece"ReturnReceipt a Electronic verification of delivery or artempteu n Bated,"or see a retail associate for delivery. (I-(rG assistance.For an electronic return receipt, a A record of delivery(including the recipient's see a retail associate for assistance.To signature)that is retained by the Postal receive a duplicate return receipt,present Service°for a specified period. this USPS"-postmarked Certified Mail receipt to the retail associate,who will Important Reminders: provide a duplicate return receipt for no _ a You may purchase Certified Mail service with additional fee. -- - First-Class Maih,First-Class Package -Restricted delivery service,which provides Service",or Priority Mali'I service, delivery to the addressee specified by name, SECTIONON DELIVERY ■Certified Mail service is notavailable for or to the addressee's authorized agent. COMPLETESECTIONHIS international mail. Include applicable postage to cover the A. Si gnat e ■Insurance coverage is not available for restricted delivery fee and endorse the ■ Cdhlpiete Items 1,2,and 3.Also complete 0 Agent purchase with Certified Mail service.However, mailpiece"Restricted Delivery,"or see a item 4 if Restricted Delivery is desired. X ❑Addressee the purchase of Certified Mail service does not retail associate for assistance. ■ Print your name and address on the reverse change the insurance coverage automatically ■To ensure that your Certified Mail receipt is Y B .$eceived b Pr" led Name C. Date of Delivery included with certain Priority Mail terns. accepted as legal roof of mailing,it should so that we can return the card to you. r y( ) ry ■For an additional fee,you may request the bear a USPS postmark.If you wod like a ■ Attach this card to the back of the mailpiece, }_ G I � following services: postmark on this Certified Mad receipt,please or on the front if space permits. 1-' -Return receipt service,which provides you present your Certified Mail item at a Post D. Is delivery address different from item 1? No with a record of delivery(including the Office-for postmarking.If you don't need a 1. Article Addressed to: If YES,enter delivery address below: recipient's signature).You can re�1Pr�tt,am� gp r on this Certifi�eedd Mail receipt,detach hardcopy return receipt or an elek 64IN1$ 13L4E$ -d"�bl Mobt6is label,affix it to the version.For a hardcopy return re iott r 1)PAd jpplypapprropriate postage,and -- - -- complete PS Form 3811,Dames' r os3bt�F AWtaa� Receipt,'attach PS Form 3811 to your IMPORTANT:Save this receipt for your records. Ms. Christy Eskew Ps Form 3800,July 2014(Reverse)PSN 7530-02-000-9047 TBK Bank, formerly Colorado East Bank&Trust 3. Service Type 1030 Main Street 14 Certified Mail® [3Priority Mail Express- I, _ P O Box 32 ❑Registered [:]Return Receipt for Merchandise Springfield, CO 81073 ❑ Insured Mail ❑Collect on Delivery 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number 7014 2120 0001 7885 6378 (Transfer from service label) PS Form 3811,July 2013 Domestic Return Receipt