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2015-12-15_GENERAL DOCUMENTS - M1983141 (3)
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2015-12-15_GENERAL DOCUMENTS - M1983141 (3)
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Last modified
8/24/2016 6:13:22 PM
Creation date
12/15/2015 12:25:52 PM
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DRMS Permit Index
Permit No
M1983141
IBM Index Class Name
General Documents
Doc Date
12/15/2015
Doc Name
Certified Mail Receipt
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DRMS
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DRMS
Media Type
D
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■ Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />e 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. Mark A. Steen <br />Gold F 'I Mines, Inc. <br />95-7 Reynolds Farm Lane <br />Longmont, CO 80503 <br />O"WOMM'', <br />lovIV, <br />A. Signature <br />. Agent <br />S� <br />Addressee <br />B. ived by (P ' Name) C Date of Delivery <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: X70 <br />3. Service Type I <br />t Certified Mail- ❑ Priority Mail Express" <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 7014 0150 0000 91,38 1,978 <br />(transfer from service label) <br />PS Form 3811, July 2013 Domestic Return Receipt <br />
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