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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> • Complete iten t 2,and 3. A. Signat / n <br /> • Print your.4ngr, Brand address on the reverse /V ❑Agent <br /> so that-Vve. b return the card to you. L w CI Addressee <br /> � <br /> III Attach this card to the back of the mailpiece, B. Received by(Printed Name) 0 C. Date of Delivery <br /> or on the front if space permits. <br /> 1 ''^ D. Is delive '1.a7 -. wr T. <br /> '_ re 0 Yes <br /> „ If YES,enter delivery address below: 0 No <br /> -Johan Van Huyssteen AUG 20 20/4 <br /> Cripple Creek&Victor Gold <br /> Mining Company Colorado Division of Reclamation, <br /> P.O. Box 191 Mining and Safety <br /> Victor, CO 80860 <br /> 3.0 Service Type Adult <br /> Mail Express® <br /> I'I I 111111111 I I I I I I I I I Hill I ❑Adult Signaturee Restricted Delivery 0 Registered Mail Restricted <br /> 0 Certified Mail@ Delivery <br /> 9590 9402 3488 7275 7541 29 ❑Certified Mail Restricted Delivery 0 Return Receipt for <br /> 0 Collect on Delivery Merchandise <br /> -• ,---T---^s,.•s•,,,„con ire?label) 0 Collect on Delivery Restricted Delivery 0 Signature ConfirmationTM <br /> 9589 0710 5270 0839 8573 60 <br /> isured Mail 0 Signature Confirmation <br /> nsured Mail Restricted Delivery Restricted Delivery <br /> over$500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />