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:SS FIRMLY TO SEAL PRESS FIRMLYTO SEAL III II I U'g POSTAGE PAID N <br /> PME 1-D8y <br /> OURA81427 ' CO <br /> 1RECEIVED AMOUNT a <br /> C � <br /> e) 1 <br /> 007 E 80203 a, <br /> JUN 2 3 2021 R2304'V1i119878-G3 sn <br /> IORITY � � <br /> H m <br /> DMSION OF RECLAMATION a a <br /> I A t L * MINING 8r SAFETY W M <br /> ��a <br /> I X fV <br /> T_T <br /> C � <br /> PRESSTM I UN/TEDSTATES PRIORITY <br /> MAIL <br /> EST SERVICE IN THE U.S. i1U <br /> �'OST/�LSERVICE® EXPRESS® w V <br /> CUSTOMER USE ONLY E d <br /> FROM:(PLEASE POINT)• PHONE(9$q J. - E J 860 51 Z 967 U$ o f <br /> flU� Lj,V�(r {rlgl/1� S wo <br /> �y >,LL <br /> ACCOUNT <br /> LISPS®Corporate Acct.No.•• Federal Agency Accl.No.or Postal Service'"ACCL No. �W <br /> O <br /> ORIGIN ONLY) `L o <br /> Y <br /> ❑1-Day ❑2-Day ❑Military ❑DPO •O O <br /> PO ZIP Code Scheduled Delivery Date Postage M H <br /> DELIVERYOPTIONS(Cust. • (MM/DD/YY) 01 <br /> ❑SIGNATURE REQUIRED Note:The mailer must check the"Signature Required•box if the mailer:1) �\L'Z~7 to I Z -J ZI $ c <br /> Requires the addressee's signature;OR 2)Purchases additional Insurance;OR 3)Purchases COD service;OR 4) to <br /> Purchases Return Receipt service.0 the box is not checked,the Postal Service will leave the Item in the addressee's Date Accepted(MM/DD/YY) Scheduled Delivery Time Insurance Fee COD Fee fn u <br /> mall receptacle a other secure location without attempting to obtain the addressee's signature on delivery. ro <br /> Delivery Options 6:00 PM N CL <br /> ❑No Saturday Delivery(delivered next business day) �j 21 12) I/ "\ $ $ ut _^ <br /> ❑Sunday/Holiday Delivery Required(additional fee,where available') 0.F <br /> *Refer to Time Accepted Return Receipt Fee Live Animal <br /> D INTERNATIONAL N El AM Transportation Fee <br /> )MS DECLARATION W $ $ <br /> IAY BE REQUIRED. L Q n) (� PHONE( 11 'Z� s (° <br /> Y <br /> Special Handling/Fragile Sunday/Holiday Premium Fee Total Postage&Fees <br /> 1313 StiCrMa-) S1-. R� �, <br /> lie^"•r L� 3� <br /> � ziWeight ❑Flat Rate Acceptance Employes Initials OO <br /> 2 a <br /> $ m o <br /> lbs. ozs. '_.,j <br /> (POSTALDELIVEHY • M <br /> ZIP+4®(U.S.ADDRESSES ONL1� pt W <br /> 0 ❑AM <br /> Delivery Attempt(MMIDD/Y1') Time Employee Signature C� <br /> 1'1 �] •01 <br /> 2013 OD:12.5 x 9.5 V O� ❑PM <br /> ■ For pickup or USPS Tracking-,visit USPS.com or call 800-222.1811. Delivery Attempt(MM/DD/YY)Time Employee Signature to <br /> • $100.00 insurance included. ❑AM m <br /> 0 PM <br /> 1=- <br /> 1�1 PEEL FROM THIS CORNER LAB 11-96 AYE/ PSN7690-02-000.9996 STATES <br /> )01000006 V1J1 1 uJ h1 uvrQ.uvlvi RUN`POSTAL SERVICE. <br /> ORDER FREE SUPPLIES ONLINE <br />