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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON 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 A, ❑Addressee <br /> so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, t <br /> or on the front if space permits. <br /> D. Is delivery address different from Re 1? ❑Yes <br /> 1. Article Addressed to: - — If YES,enter delivery address below: M No <br /> Mike Schaffner <br /> Cripple Creek&Victor Gold Mining Compan} <br /> 100 North Third Street <br /> Victor.CO 80860 <br /> 3. Service Type <br /> lecertified Mail® ❑Priority Mail Express- <br /> ❑Registered ❑Return Receipt for Merchandise <br /> ❑ Insured Mail ❑ Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) El Yes <br /> 2. Article Number 7 014 212 0 0001 7885 7252 <br /> (Transfer from service label <br /> PS Form 3811,July 2013 Domestic Return Receipt <br /> RNat� w1frA� , <br /> Postal <br /> CERTIFIED © RECEIPT <br /> tU Domestic Mail Only <br /> Ln <br /> ni _ <br /> � f4 �EE711 Ian $0.47 <br /> co 0.1 to 1.0 oz. Postage <br /> CID <br /> r- Certified Fee: $3.45 <br /> $2.75 <br /> a Return Receipt Fee: <br /> C3 (Et <br /> RTotal Postage & Fees: $6'fi7 <br /> o (Er <br /> ;v <br /> ru <br /> r-1 Total Postage&Fees <br /> ru <br /> sent TO Mike Schaffner <br /> rq aeeiaifpt No:, Cripple Creek&Victor GoId{lv",ebrnpan} <br /> 0 or PO Box No. 100 North Third Street <br /> r` ------------------- <br /> Chy,State,ziP+a Victor.CO 80860 <br />