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vl-{SENDER: COMPLETE THIS SECTION COMPLETE THIS 5 <br /> DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Sign <br /> ataM Aggat- <br /> item 4 if Restricted Delivery is desired. X ❑ <br /> ■ Print your name and address on the reverse ddressee <br /> so that we can return the card to you. B. vedCy fp t me) 9?!tejf DM <br /> ■ Attach this card to the back of the mailpiece, //i���➢➢ <br /> or on the front if space permits. <br /> D. Is delivery address di Brent from item 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑No <br /> a <br /> Mr. Laurens W. Leffingwell, Jr. <br /> Gold Basin Mine, LLC <br /> 30 N. La Salle St. Suite 1232 3. Service Type <br /> [Certified Mail® ❑Priority Mail Express'" <br /> Chicago, II 60602 ❑Registered ❑Return Receipt for Merchandise <br /> ❑Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number <br /> (Transfer from service laben 7 014 0150 0000 9138 150. <br /> PS Form 3811,July 2013 Domestic Return Receipt <br />