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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,_and A a`'e <br /> ■ Print your rigme rtd'address on the reverse �" , ---�� Agent <br /> so that we can return the card to you 6 ®Addressee <br /> ■ Attach this card to the back of the mailpiece, B, e • ed b (Printed ape) C. Date of Delivery <br /> or on the front if space permits. ILI <br /> �l <br /> D. Is delivery address different from item T? ❑Yes <br /> If YES,enter delivery address below: [INo <br /> M Au &Jetsy Clennin APR G 2021 <br />{ <br /> 1 6 emmn Road <br /> e 0 81069 DIVISION OF Re.,LAM,ATIO�N <br /> MININGANDSAFETY <br /> M-2020-022 D. Cunningham <br /> II I IIIII III III I II II I III( I I I I I I III I I II I I 3. Service Type ❑Priority Mail Express@ <br /> ❑Adult Signature ❑Registered MajIilTmT"' <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> 9590 9402 2543 6306 1147 02 El Certified Mail estricted Delivery ❑RReetu Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number(Transfer from service label O Collect on Delivery Restricted Delivery ❑Signature ConfirmationT <br /> nsured Mail ❑Signature Confirmation <br /> 7 017 2400 0000 9119 1464 nsured Mail Restricted Delivery Restricted Delivery <br /> lover$500) <br /> r <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />