Laserfiche WebLink
'L fv11gG2 -Oi5 <br />Cer}i -�iec� M�� L- `j° Inc &4-erL5i'ort. <br />• Complete items 1, 2, and 3. Also complete A. <br />item 4 if Restricted Delivery is desired. <br />• Print your name and address on the reverse X <br />so that we can return the card to you. e <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. Laurens W. Leffingwell, Jr. <br />Gold Basin Mine, LLC <br />c/o Simpson Estates, Inc. <br />30 N. La Salle St., Ste 1232 <br />Chicago, 11 60602 <br />0 <br />If-r—Agent <br />by (Printed Name) I C, <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />IN Certified Mail <br />0 Registered <br />❑ Insured Mail <br />❑ Express Mail <br />❑ Return Receipt for Merchandise <br />13 C.O.D. <br />- - - °- . ,�...... , , Li Yes <br />2. Article Number <br />(Transfer from service labeo _ 7 012 3460 0 0 0 0 6384 5 9 4 8 <br />PS Form 3811, February 2004 Domestic Return Receipt 102595 -02 -M -1540 <br />Postal <br />RECEIPT CO CERTIFIED MAIL. <br />_7- (Domestic mail only; No insurance coverage Provided) <br />t7^ <br />Ln <br />s Postage: <br />Cc <br />M Certified Fee: $0.48 <br />�0 Return Receipt Fee: �' " $3.30 <br />C3 i . .70 <br />0 Retm Total stage & Fe <br />O (Endorsen Po, <br />;: ; -n <br />Restricted Delivery Fee �� $ .4 <br />L7 (Endorsement Required) P <br />� b <br />� Total Pos <br />M <br />rU LSen,To Mr. Laurens WL Gold Basin Mine, LLC <br />C3 ------- - - -- -- <br />[` c/o Simpson Estates, Inc. <br />30 N. La Salle St., Ste 1232 --------------- <br />Chicago, 1160602 <br />