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,COrOPLEIE 7H!S SECTION ON DELIVERY SENDER:COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> A. Si net <br /> A. Siynatt ■ Complete items 1,2,and 3. g / ❑Agent <br /> X / err ❑Agent ■ Print your name and address on the reverse X A <br /> Addressee ddressee <br /> so that we can return the card to you. <br /> B eceived by(Printed Na e) C.Date of Delivery ■ Attach this card to the back of the mailpiece, eceived by(Pn N ) C. Date of Delivery <br /> or on the front if space permits. <.!, << •f`��' f ! =' ' l <br /> D. Is delivery address different from item 17 ❑Yes 1. Article Addressed to: D. Is delivery address different from Item i? ❑Yes <br /> If YES,enter delivery address below: M.No If YES,enter delivery address below: Flo <br /> f <br /> GOLD STATES MINING <br /> BOX 107 <br /> VICTOR CO 80860 <br /> i <br /> 3. Service Type ❑Priority Mail Express® 3. Service Type ❑Priority Mail Express® I <br /> ❑Adult Signature O Registered Ma11- D Adult Signature ❑Registered Mail- <br /> ❑Adult Signature Restricted Delivery El Registered Mail Restricted, II I'III�I I'II I'I I)I I(I)I II�IIII IN I II III I III ❑Adult Signature Restricted Delivery ❑Reggistered Mail Restricted <br /> ❑Certified Mail® Delivery i O Certified Mail® Dulivary <br /> •Certifi d Mall Restricted Delivery 0 Return Receipt for { 9590 9403 0903 5223 4127 58 0 Certified Mail Restricted Delivery ❑Return Receipt for <br /> U collect on Delivery Merchandise ❑Collect on Delivery Merchandise <br /> O Cdlecl on Delivery Restricted Delivery O Signature Confrmation'" —2. A�^lo N,mhar?ronefn.Frnm�� �o tenon ❑Collect on Delivery Restricted Delivery Signature Confirmation— <br /> El Signature Confirmation ❑Signature Confirmation <br /> 3343 1 Restricted Delivery Restricted Delivery 7 015 1660 0000 0779 2926 )stricted Delivery Restricted Delivery <br /> Domestic Return Receipt PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br /> COMPLETE THIS SECTION ON DUIVERY SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> A. Si ature ■ Complete items 1,2,and 3. A. Sig elute ' <br /> Agent ■ Print your name and address on the reverse ❑Agent <br /> X ❑Addressee so that we can return the card to you. X " Addressee <br /> ' �ceived by(P me) C. Detect Delivery N Attach this card to the back of the mailpiece, B. eeive b rint ) C. Date of Delivery <br /> in <br /> W or on the front if space permits. <br /> D. Is delivery address different from item t? ❑Yes Is delivery address different from item 1? ❑Yes <br /> If YES,enter delivery address below: ❑No If YES,enter delivery address below: ❑No <br /> COUNTY OF TELLER <br /> PO BOX 959 <br /> CRIPPLE CREEK,CO 80813 <br /> 3. Service Type ❑Priority Mail Express® 3. Service Type ❑Priority Mail Express® <br /> ❑Adult Signature ❑Registered Mail- NN ❑Adult Signature ❑Registered I'I 'II('IIIIIIIIIIIIIIIIIIIIIIIIIIII Mail- <br /> 0 Aul Signature Restricted Delivery Adult Signature Restricted Delivery O Registered Mail Restricted D Registered Mail Restricted <br /> D Certified Mail® Delivery ❑Certified Mat® Delivery <br /> ❑Certified Mail Restricted Delivery ❑Return Receipt for 9590 9403 0903 5223 4126 11 ❑Certified Mail Restricted Delivery O Return Receipt for <br /> ❑CID ct cn Delivery Merchandise ❑Collect on Delivery Merchandise , <br /> O Collect on Delivery Restricted Delivery 13 Signature Confirmation"m art:^r r r,.mti rr �r,s.^m a r�ti n ❑Collect on Delivery Restricted Delivery O Signature Confirmation- <br /> 0 Signature Confirmation pry ❑Signature Confirmation <br /> 2 711 I Restricted Delivery Restricted Delivery I _7 015 1660 0000 0779 2650 :11 Restricted Delivery Restricted Delivery <br /> Domestic Return Receipt g PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt r <br />