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■Complete Items 1,2,and 3. A.6lgnswro <br /> ■Print your name and address on the reverse X ❑Agent <br /> so that We can return the card to you. ❑Addressee <br /> ■Attach this card to the back of the mallplece, B.Received by(Printed Nerve) D.Date of Delivery <br /> or on the front If space permits. <br /> 1.Article Addressed to D.M delivery address different from Item 17 ❑Yes <br /> If YES,enter delivery address below: ❑No <br /> � American Contract Miners <br /> I 11808 State Highway 93 <br /> Boulder,Colorado 80303 <br /> 3-!service type ❑Pftdty M.H EMp-MD <br /> II I IIIIII IIII III I II I III I IIII I II II II II I I I II III 9 plsl U mt Awtdclad cel_y ❑Rm6mDeeered MNI Resl, W <br /> 9590 9402 1727 6074 7171 39 °OertieedMYlReetdctedDeMery °Rau nolAptfor <br /> °Dears on Del wy Marcamldks <br /> 2.ArIICIe Number(IFena/er/rem aervlce rebs0 °Osral an MWery rtaeokled Delivery O SIge b"Confinn-O m„ <br /> ° 0 Sgnean Conamalbn <br /> 101-1 1450 Ooo7 Oo I °1"MYtlA1""M"e°0i v"y R0 6.W D.R-y <br /> Ps Form 3811,July 2016 rsN rawo:t4w4oss Domeft Return Receipt I _Postal - <br /> CERTIFIED MAURECEIPT <br /> .0 n <br /> M1 r— M1 <br /> rn rn rn ee <br /> o - o 0 <br /> o c c <br /> .ae o <br /> ru N fu Ona,n,rde+gl�deeea e <br /> G G Oaeloarrep W-b r-W a ftwe tt <br /> O O O ❑adtIWMM1eMYNa*— a Hero <br /> pAaee Waweearaeev <br /> Ln Ln Ln tags <br /> S ? x• <br /> r•R ra rR ee ea a eee <br /> sent 7b <br /> M1 SlieeliWAWNW.:'uipb'tfai'No.:................».......-.....-.......-».-.._-... <br /> L9fy,-31dlAY7Aiae------------------------'----'-_.....-----.------'---------------- <br /> r <br />