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ru"' uzeu uuuu 2512 1879 <br /> ■ Complete items 1,2,and 3. A. Signature <br /> ■ Print your name and address on the reverse X ❑Agent <br /> so that we can return the card to you. 13 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 /> �rV,�GA PV(. LA&j7 If YES,enter delivery address below: ❑No <br /> 't 3t3 r ,rrvtci"R S��e�--{' ,Sc�1tlr� <br /> -9,carvt 215- U <br /> b�. evwe+rl UD 60--2-Q3 <br /> 3.II I�III'I I II I�I I II II II�II�II�I I I I II Iiil�I I III Service r Mail aipess®❑Adult gnatue O Registered Maii*M <br /> O Adult Signature Restricted Delivery p Reyisterd Mail Restricted <br /> 11 Certified WOOve <br /> 9590 9402 4089 8092 0871 48 ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> El Collect on Delivery Merchandise <br /> 9 Artirla N'InnhPr(Transfer from service label) _Q Collect on Delivery Restricted Delivery ❑Signature ConfirmationT"+ <br /> 7 0180360 0000 2 512 18 7 9 "I ❑Signature Confirmation <br /> -- ill Restrlctd Delivery Restricted Delivery <br /> i PS Form 3811,July 2015 PSN 7530-02-000-9053— - Domestic Return Receipt q <br /> oft <br /> E+ <br /> MAR 2 2 2021 . <br /> DIVISION OF RECLAMATION <br /> MINING AND SAFETY <br />