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SENDER: COMPLETE THIS SECTION COMPLETE THIS DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. Agent <br /> ■ Print your name and address on the reverse EAddressee <br /> so that we can return the card to you. B. ived by(P' Name) Dat of Delivery <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? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: �o <br /> Mr. Mff=k A. Steen <br /> Gold I Mines, Inc. <br /> 1-0 3. Service Type <br /> 95-7-R molds Farm Lane <br /> LO mont, CO 80503 A Certified Mail® ❑Priority Mail Express'"❑Registered ❑Return Receipt for Merchandise <br /> ❑Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7 014 015 0 0 0 0 0 913 8 19 7 8 <br /> (Transfer from service/abeQ <br /> PS Form 3811,July 2013 Domestic Return Receipt <br />