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SENDER: COMP.ETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3. A. Signatu <br /> ■ Print your name and address omthe reverse X ent <br /> so that we can return the card to you. ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, B Re�1 ive y(Pri d Name) C. ate of Delivef <br /> or on the front if space permits. �i� n. g `� <br /> D. Is delive ifferent ? ❑Yes <br /> If YES,enter delivery address below: ❑ No <br /> Keith Nienhueser APR 14 2021 <br /> 1805 Dorwart Dr. <br /> Sydney, NE 69162 DIVISION OF RECLAMATION <br /> M-2001-018 Brock B. MINING AND SAFETY <br /> III'I' I II ')I II I I I I I I I I I I I I I I I 3. Service Type ❑Priority Mail Express®El <br /> ❑Adult Signature El Registered MalITM <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> ❑Certified Mail@ Delivery <br /> 9590 9402 2543 6306 1125 62 ❑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 ❑Signature ConfirmationT" <br /> ❑Insured Mail ❑Signature Confirmation <br /> 7017 2400 0000 9119 4380 insured Mail Restricted Delivery Restricted Delivery <br /> (over$500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />