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DELIVERY <br /> 1 SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON Complete■ Complete Items 1,2,and 3. A. $I to <br /> ■ Print your name and address on the reverse X/ El Agent <br /> so that we can return the card to you. i ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. Date of Delivery <br /> or on the front if space permits. <br /> 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes <br /> If YES,enter delivery address below: ❑No <br /> CITY OF CRIPPLE CREEK I <br /> BOX 430 <br /> CRIPPLE CREEK,CO 80813 <br /> I <br /> II I IIIIII III)III i I I I I I I I II IIIII I II I II I IIIII III 3. Service Type ❑Priority Mail Express® <br /> ❑Adult Signature ❑Registered Mail*� <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> ❑Certified Mail@ Delivery <br /> 9590 9403 0903 5223 4126 35 ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. a+, to nu, .m ___.•-_ n - __-slivery Restricted Delivery Lisignature Confirmation'" <br /> ❑Signature <br /> 7015 1660 0000 0779 2636 Delivery <br /> i <br /> _Restricted Delivery Restricted Del(very t <br /> I (over$500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br /> SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete Items 1,2,and 3. A. 1pnature <br /> ■ Print your name and address on the reverse + t r;� ❑Agent <br /> so that we can return the card to you. Lt�G{ r �' r ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, R'ceived by(Printe�Na e) l C. D to of etiv ry <br /> or on the front if space permits. ' ��r)�;� �f .v- ;J•��t�,U t'�f�/l � <br /> 1 °'tint°a i irA�c ut+�• D. is delivery address different from item 11 ❑Yes <br /> If YES,enter delivery address below: ©',lo <br /> i <br /> PROVIDENCE MINING CO I <br /> PO BOX 661 l <br /> CRIPPLE CREEK CO 80813 ! <br /> 3. Service Type ❑Priority Mall Express® <br /> II I IIIIII IIII III I I I I I I I I II IIIII I III III II II I III i® istered MailT. <br /> Restricted DeliveryDelivery ❑Delivery <br /> livsetneyred Mail Restricted <br /> ❑Certified Ma <br /> 9590 9403 0903 5223 4143 49 Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number(transfer from service label) Q Collect on Delivery Restricted Delivery 0 Signature Confirmation- / <br /> ❑Signature Confirmation <br /> 7 015 11360 0000 0779 3176 R"tricted Delivery Restricted Delivery <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />