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_ icAcA 117 <br /> SECTIONSENDER: COMPLETE THIS SECTION COMPLETE THIS . . <br /> ■ Complete items 1,2,and 3.Also complete A. ignature <br /> item 4 if Restricted Delivery is desired. X �� ❑Agent <br /> ■ Print your name and address on the reverse ❑Addressee <br /> so that we can return the Card to you. B. ived by(Printed Name) C. Dat&f DElive <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front if space permits. <br /> D. Is delivery address different from item 1? El Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑ No <br /> Mr. Mark A. Steen <br /> Gold Hill Mines, Inc. <br /> 957 Reynolds Farm Lane 3. Service Type <br /> Longmont, CO 80503 ®Certified Mailm ❑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 <br /> (transfer from service label) 7 014 0150 0000 9138 2 2 2 7 <br /> PS Form 3811,July 2013 Domestic Return Receipt <br />