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I/ PTA <br />• Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />• Print your name and address on the reverse <br />so that we can return the card to you. <br />• Attach this card to the back of the mailpiece <br />or on the front if space permits. <br />1. Article Addressed to: <br />Mr. Mike Bucklen <br />Bucklen Equipment Company. Inc. <br />804 N 25th Ave <br />Greeley, CO 80631 <br />❑ Agent <br />Jul ❑Addressee <br />B. Receive dh by( Minte/d� Name), C. Date of Delivery <br />D. Is delivery address different frol ftem 1? ❑ Yes <br />. If YES, enter delivery adkss below: ❑ No <br />Service Type <br />❑ Certified Mail ❑ Express Mail <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 7009 2820 0003 5701 2695 <br />(transfer from service label) <br />PS Form 3811, February 2004 Domestic Return Receipt <br />UNITED STATES POSTAL SERVICE <br />0 <br />Postal Servicerr. <br />RTIFIFD MAII - RFrFIP <br />102595 -02 -M -1540 <br />First -Class Mail <br />Postage & Fees Paid <br />USPS <br />Permit No. G -10 <br />• Sender: Please print your name, address, and ZIP +4 in this box • <br />State of Colorado <br />Department of Natural Resources <br />vision of Reclamation, Mining & Safety <br />1313 Sherman Street, Suite 215 <br />Denver, CO 80203 f Specj1� <br />File X�13) <br />t3✓cK R* kgf,,12A <br />uI �. • . .• .•. <br />—0 For delivery information visit our website at www.usps.comj� <br />ru r , I <br />a Postage: <br />o Certified Fee: 45 <br />Ln <br />Return Receipt Fee: <br />M $2.3 < <br />o Total Postage & Fees: �j!'' $5 $ lee* <br />0 <br />C3 Restrl ._ <br />Q (Endorsement Required)) <br />ru - --� <br />.0 Total Postage & Fees $ P', <br />rt' Sent Mr. Mike Bucklen <br />Er E3 Stiee Bucklen Equipment Company, Inc. .......... <br />or PC 804 N 25th Ave <br />----------- <br />17� ...... <br />City � Greeley, CO 80631 <br />Ill iilllli liililllt liiilill lliilllil illlli lllilllllllillilliil <br />Certified Mail Provides: <br />■ A mailing receipt <br />r A unique identifier for your mai,Tplkce ` <br />■ A record of delivery kept by the .Pos)ai,Sej►�,�, %�/ceo /�jes�__ _ <br />Important Reminders: �(.�/ AW Gli <br />• Certified Mail may ONLY be combined with First -Class Maile or Priority Mail, <br />• Certified Mail is not available for any class of international mail. <br />• NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. Fo <br />valuables, please consider Insured or Registered Mail. <br />IS For an additional fee, a Return Receipt may be requested to provide proof of <br />delivery. To obtain Return Receipt service, please complete and attach a Returr <br />Receipt (PS Form 3811) to the article and add applicable postage to cover the <br />fee. Endorse mailpiece "Return Receipt Requested ". To receive a fee waiver for <br />a duplicate return receipt, a USPSc, postmark on your Certified Mail receipt i; <br />required. <br />r For an additional fee, delivery may be restricted to the addressee o <br />addressee's authorized agent. Advise the clerk or mark the mailpiece with the <br />endorsement "Restricted Delivery". <br />at If a postmark on the Certified Mail receipt is desired, please present the arti <br />cle at the post office for postmarking. If a postmark on the Certified Mai <br />receipt is not needed, detach and affix label with postage and mail. <br />IMPORTANT. Save this receipt and present it when making an inquiry. <br />PS Form 3800, August 2006 (Reverse) PSN 7530 -02- 000 -9047 <br />ORMS -1313 Sherman, Rm 215, Denve,. t'Q 8c <br />