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TM <br /> Postal Service <br /> CERTIFIED o RECEIPT <br /> �o <br /> Domestic <br /> 0 <br /> Ln For delivery information, <br /> , <br /> M <br /> rU Certified Mail Fee <br /> ET $ <br /> Extra Services&Fees(check box,add tee as appropnate) <br /> ❑Return Receipt(hardcopy) $�.r -,�•�,•-� r,i• ^'y , <br /> ❑Return Receipt(electronic) $ G'ti. ;�(-•,„ Fi'�s <br /> ❑Certified Mail Restricted Delivery $ HerO <br /> Q [:]Adult Signature Required $ P`^ <br /> ❑Adult Signature Restncted Delivery$ I ) j+( <br /> p Postage [ i <br /> ET $ <br /> Total Postage and Feesru DIVIS! N OF RECLAMATION <br /> $ <br /> LINING o SAFETY <br /> 7SentTq <br /> rl FA 4� <br /> OS-ree------ --- --- - ------ -------!------------------- <br /> ------------------ <br /> tand t.� .,ork Bcx�o. /1 <br /> ------ ---0 <br /> City,State,ZJP+4 A/TC `r I <br /> :rr r rr r• •r• <br />