_INSPECTION - M1979165 ‎(9)‎

• Permit No: M1979165
• IBM Index Class Name: Inspection
• Doc Name: MINERALS PROGRAM INSPECTION REPORT
• Inspection Date: 4/3/1996
• Media Type: D
• Archive: No

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•Comp SENDER:items t and/or 2 for additional services. 1 also wish 10 receive the
w •Complete items 3,4a,and ab. following services(for an
i •Print your name and address on the reverse of this form eo that we can return this extra fee):
card to you.
•Mach this torn to the front of the mailpiece,or on the bark if space does not 1. ❑ Addressees Address .Y
2 permit.
fi •Write'Return Receipt Requested'on the mailpiece below the article number 2. ❑ Restricted Delivery y
-The Return Receipt will show to whom the article was delivered and the data
o delivered. Consult posbnaster for fee.
0
3.Article Addressed to: 4a.Article Number
ALBERT FREI & SONS INC Z416 942 940
4b.Service Type 8
ALBERT FREI •
u ❑ Registered Certified
11521 BRIGHTON ROAD C.
HENDERSON CO 80640 ❑ Express Mail ❑ Insured02
Return Receipt for Merchandise ❑ COD 5
7.Date of Delivery
e
5.Received By:(Print Name) 8.Addressee's Address(Only it requested
and fee is paid)
r
g 6.Signat e: (Addressee or Agent)
w
PS Fonb 3811, December 1994 Domestic Return Receipt