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*"on� <br /> 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 /> Is Print your name and address on the reverse I F]Addressee <br /> so that we can return the card to you. VB. 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 itemii? ❑Yes <br /> 1. Article Addressed to: if YES,enter delivery address below: lido <br /> Mr. Mfk A. Steen <br /> Gold h Mines, Inc. <br /> 95r R ynolds Farm Lane 3. Service Type i <br /> �Certified Mail® ❑Priority Mail Frxpress'" <br /> Lon mont, CO 80503 <br /> ❑Registered ❑Return Receipt for Merchandise I <br /> ❑Insured Mail ElCollect on Delivery I <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7 014 015000009138 19 7 8 <br /> (Transfer from service label <br /> Ps Form 3811,July 2013 Domestic Return Receipt j <br /> j <br />