Laserfiche WebLink
UNITED STATES Pd&AESERV!bt:` '`^� Fir <br /> 9 ees-Raid <br /> U.S. Postal Service'" <br /> ru CERTIFIED MAILP RECEIPT <br /> nj Domestic Mail Only <br /> —0 0 Sender: Please print your name, address,and ZIP+45 in this box* <br /> ru <br /> Ln State of Colorado <br /> CD <br /> co Department of Natural Resources <br /> r%_ Postage: ­,>­--,,$0.675 Division of Reclamation,Mining&Safety <br /> r-3 certified Fee: �3.300 <br /> C3 1 / T <br /> C3 (En Return Receipt Fee:'3 �,$2.700 1313 Sherman Street,Room 215 <br /> C3 M-2000-040 <br /> RE Denver,CO 80203 so-day Grace letter <br /> C3 (En <br /> nu Total Postage and Fee-!5,,> ---$6.675 PSH WFE AJW <br /> rl Total Postage&Fees I$ <br /> rij <br /> = —gent To <br /> r-3 Nate Davis <br /> C3 Medicine Bow Riouft National Forest <br /> r%- or PO Box No. USDA Forest Service <br /> ity,State, <br /> 244W 2468 Jackson St_ ----------- <br /> Lararrae,WY 82070-6535 <br /> PS Form 3800,July 2014 See Reverse tar InWiructions Certified Mail urvir— m-20OG-040 ng benefits: <br /> ■ACertified Mail rec )NIA1 30-day Grace Witter ide applicable postage to <br /> Certified Mail label). PSH WHE A i receipt service fee;and <br /> ■A unique identifier for FoUlAa <br /> ilplece"Return Receipt <br /> ■Electronic verification of delivery or attempted fisted,"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"I-postmarked Certified Mail <br /> receipt to the retail associate,who will <br /> Important Reminders. provide a duplicate return receipt for no <br /> SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY E You may purchase Certified Mail service with additional fee. <br /> First-Class Mail',First-Class Package -Restricted delivery service,which provides <br /> • Complete items 1,2,and 3.Also complete A—Stgnatuin Servjce�,or Priority Mail"service delivery to the addressee specified by name, <br /> 1 0 Agent N Certified Mail service is notavailable for or to the addressee's authorized agent. <br /> item 4 if Restricted Delivery is desired. X 0 Addressee❑ international mail. Include applicable postage to cover the <br /> • Print your name and address on the reverse N Insurance coverage is notavailable for restricted delivery fee and endorse the <br /> so that we can return the card to you. B. ecervecl b (P t d Name) C. Date of Delivery purchase with Certified Mail service.However, mailpiece"Restricted Delivery,"or see a <br /> e the purchase of Certified Mail service does not retail associate for assistance. <br /> • Attach this card to the back of the mailpiece, I'L <br /> r change the insurance coverage automatically ■To ensure that your Certified Mail receipt is 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 19 El Yes H For an additional fee,you may request the bear a USPS postmark.If you would like a <br /> 1. Article Addressed to: If YES,enter delivery address below: El No following services: postmark on this Certified Mail receipt,please <br /> Return receipt service,which provides you present your Certified Mail item at a Post <br /> with a record of d 11 W nclu mg the Office"for Qostmar&g I on't need a <br /> Nate Davis Forest iP j()rVa(W I- _famatior-ppsMfi nil m gwelletV,detach <br /> Medicine Ekyw—Roultit National F RiM p' t electronic tne oded poTti f tU label,affIx it to the <br /> USDA Forest Service version.jaiaget 6 S lk-1000MM ice postage,and <br /> comple e FS rm 3 1piece. <br /> Receipt;attach PS a in t t.'t <br /> 2468 Jackson Sit MWU�Aj.i <br /> Laramie,VVY 82(Y70-6&35 this receipt for your records. <br /> 3. Service Type Ps Form 3800,JU1Y 2014(Reverse)PSN 7530-02-000-9047 <br /> El Certified Mail® El Priority Mail Express- <br /> 0 Registered 0 Return Receipt for Merchandise <br /> 0 Insured Mail El Collect on Delivery <br /> 4, Restricted Delivery?(Extra Fee) El Yes <br /> 2. Article Number 7014 2120 0001 7885 2622 <br /> (Transfer from service label) <br /> PS FQg1j.3811,July 2013 Domestic Return Receipt <br />