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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3. A. Signatur <br /> ■ Print your name and address on the reverse X �, � IL El Agent <br /> so that we can return the card to you. ❑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 der!l In i m 1? ❑Yes <br /> n <br /> If YE er slivery address below: ❑No <br /> JUN 2 4 2019 <br /> DIVISION OF RECLAMATION <br /> MINING AND SAFETY <br /> III(III III III I II II I III I I I I III I I I I I I III 3. Service Type ❑Priority Mail Express® <br /> ❑Adult Signature ❑Registered MalITM <br /> O�duIt Signature Restricted Delivery ❑Registered Mail Restricted <br /> rtified Mail® Delivery <br /> 9590 9402 2543 6306 1145 97 ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery 0 Signature ConfirmationT <br /> ❑Insured Mail ❑Signature Confirmation <br /> 018 2290 0001 8923 6 910 ❑Insured Mail Restricted Delivery Restricted Delivery <br /> (over$500) <br /> Ps Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />