2016-02-24_PERMIT FILE - M1980244

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SECTIONCOMPLETE THIS DELIVERY SENDER: . • ON DELIVERY i A. Signature ! A. Signature 11 ■ Complete items 1,2,and 3. X i , , ❑Addressee ■ Print your name and address on the reverse X t f-1 • O Agent B. Received by(Panted Name) C. Date of Delivery so that we can return the card to you. tt %It X"f, ,i;gj,' ❑Addressee ■ Attach this card to the back of the mailpiece, s• Received by(Prime Name) C. Date of Delivery 1" zrI - or on the front if space permits. �(, al 1"t �� ,^^•`�/) 1 1,)I V D. Is delivery address different from item 1? 0 Yes 1 D. Is delivery address di Brent from item 1? 0 Yes If YES,enter delivery address below: [I No =:;,: _, If YES,enter delivery address below: ❑No CHAPMAN,MARLENE J \ C/O CHAPMAN JR,JAMES R JAN 13 2016 `; PO BOX 944 CRIPPLE CREEK,CO 80813 3. Serve Type ❑Priority Mail Expresso 3, Service Type ❑Priority Mail Express® ❑Adult Signature D Registered Mail D Adult Signature ❑Registered Mail*'^ ❑Adult Signature Restricted Delivery D Registered Mail RestrictedII I'III'I I�II 'I I I I I I D Adult Signature Restricted Delivery ❑Reggistered Mail Restricted ❑Certified Mailer Delivery ❑Certified MaiICF Delivery D Certified Mail Restricted Delivery ❑Returnrch Receipt for 9590 9403 0903 5223 4126 42 ❑Certified Mail Restricted Delivery ❑Return Receipt for ❑Collect on Delivery Merchandise ❑Collect on DeliveryRestricted Delivery D Signature ConfirmationT" ❑Collect on Delivery Merchandise ry D Signature Confirmation o ^�;,I,s'•.. k—M—-r—r..,.,,—1—J,h h D Collect on Delivery Restricted Delivery D Signature ConfirmatbnT^' fail ❑Signature Confirmation 1 2995 3eslricted Delivery Restricted Delivery 7015 1 6 6 D 0000 0779 2629 lail Restricted Delivery Restricted Delivery Domestic Return Receipt PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt COMPLETE THIS SECTION ON DELIVERY COMPLETE THIS SECTION ON DELIVERY SENDER:COMPLETE THIS SECTION A. Sign tur ■ Complete items 1,2,and 3. A. ig re �7 O Agent ■ Print your name and address on the reverse Agent Xi/ ElAddressee so that we can return the card to you. ❑Addressee B. Received by Printed Name) C. Date of Delivery ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) C.{Date of Delivery or on the front if space permits, 1" r D. Is delivery address different from item 1? 0 Yes 1. Article Addressed to: D. Is delivery address different from Item 17 ❑Yes If YES,enter delivery address below: ❑No If YES,enter delivery address below: p No KELLER,LOUIS S&PATRICIA L I C/O ANGLO GOLD ASHANTI 6300 SOUTH SYRACUSE WAY SUITE 500 CENTENNIAL,CO 80111 3. Service Type ❑Priority Mail Express® 3. Service Type P Priority Mail Express® ❑Adult Signature ❑Registered Mail"' ❑Adult Signature ❑Registered Mail'" I II"I'I'I I'III'I II III I II II IIIII I IIII III I I II III ❑Adult Signature Restricted Delivery D Registered Mall Restricted ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted Delive ❑Certified Mail® Delivery O Certified Mail® Delivery I ❑Certified Mail Restricted Delivery ❑Return Receipt for ❑Certified Mail Restricted Delivery D Return Receipt for p 9590 9403 0903 5223 4128 57 Merchandise ❑Collect on Delivery Merchandise ❑Collect on Delivery 1-�'--^alivery Restricted Delivery D Signature Confirmation*"" ❑Collect on Delivery Restricted Delivery D Signature Confirmalienr I Mail ❑Signature Confirmation I' ❑Signature Confirmation Restricted Delivery 2636 7D1,5 1,660 DDDD D779 2827 IMailRestrlcledDelivery a Restricted Delivery Restricted Delivery _,_,-500) I (over3500) -- Domestic Return Receipt PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt