2017-01-30_GENERAL DOCUMENTS - M1995034 (2)

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SENDER:COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY Certified Mail service provides the following benefits: ■ Complete items 1,2,and 3.Also complete A. g tur ■A Certified Mall receipt(this portion o q� S g ce;include applicable postage to item 4 if Restricted Delivery is desired. ❑Agent Certified Mail label) loee--e ipt service fee,and ■ Print your name and address on the reverse X ❑Addresse ■A unique identifier for your mailpiece.� p e� a"Return Receipt so that we can return the card to ou. ■Electronic verification of delivery or att M YYl etail associate for y B. Received by(Printed Name) C. Date of D liver delivery. ��) v j ■ Attach this card to the back of the mail iece, ��I C assistance For ci electronic return receipt, P ��_1 t ■A record of delivery(including the recipient's see a retail associate for assistance.To or on the front if space permits. signature)that is retained by the Postal receive a duplicate return receipt,present D. Is delivery address different from item 1? Y s Services for a specified period this USPS postmarked Certified Mail 1. Article Addressed to: If YES,enter delivery receipt to the retail associate,who will address below: ❑No Important Reminders: provide a duplicate return receipt for no ■You may purchase Certified Mail service with additional fee. First-Class Mail',First-Class Package Restricted delivery service,which provides Service®,or Priority MailO service delivery to the addressee specified by name, Mr. ■Certified Mail service is not available for or to the addressee's authorized agent. Daniel M. Russell international mail. Include applicable postage to cover the 9042 ■Insurance coverage is not available for restricted delivery fee and endorse the .ZS• V6 Road purchase with Certified Mail service.However, mailpiece"Restricted Delivery,"or see a 3. Service Type the purchase of Certified Mail service does not retail associate for assistance. AlamoSa, CO 81101 IK Certified Mail® ❑Priority Mail Expresse' change the insurance coverage automatically ■To ensure that your Certified Mail receipt is included with certain Priority Mail items. accepted as legal proof of mailing,it should ❑ Registered ❑Return Receipt for MerchandI& ■For an additional fee,you may request the bear a USPS postmark If you would like a - _-_ ❑ Insured Mail ❑Collect on Delivery following services: postmark on this Certified Mail receipt,please 4 -Return receipt service,which provides you present your Certified Mail item at a Post 4. Restricted Delivery?(Extra Fee) ❑Yes with a record of delivery(including the Office`"for postmarking.If you don't need a recipient's signature).You can request a postmark on this Certified Mail receipt,detach 2- Article Number hardcopy return receipt or an electronic the barcoded portion of this label,affix it to the 7 014 2120 0001 7 8 6 9 7704 version FoPPrr$agqhaa�rdcopy return receipt, mailpiece,apply appropriate postage,and (Transfer from service label) Re��tldi9 D d�te( L L�00 SaveMisreceiptforyourrecords. PS Form 3811,July 2013 Domestic Return Receipt PS Form 3800,July 2014(Reverse)PSN 7530-02-MO-9047 Postal ■ , © RECEIPT Domestic Mail Only r%_ UNITED STATES POSTAL SERVICE a- L7 First-Class Mail Postage: ✓'� $0.460 Postage&Fees Paid USPS r` Certified Fee: (`�' 3� $3.360 Permit No.G-10 a Return Receipt e:o ( p $2.750 erlc • Sender: Please print your name, address, and ZIP+4®in this box, E3 Total Postage and'Aq`: $6.570 C3 (�----------- - - rlJ State of Colorado ruu Total Postage&Fees $ Department of Natural Resources = entTo Division of Reclamation, Mining&Safety `-q C3 -Sfriw&Apt IVo Mr. Daniel M. Russell ------------------- '` or PO 1313 Sherman Street, Suite 215 C ----- -,Z/P+ 9042 S. 106 Road ity,SiateAlamosa, CO 81101 Denver, CO 80203 �� P,/ Spec " ' File /K K'W" 3,q