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Z ;1 L. ~, r to 8 9 9 <br />~ ~ Receip <br />Certifi~/~ ~ai~~ <br />"~ No Insurance o rovided <br />~~ Do not use for International <br />~or..a, (See Reversal <br />~, seni ~eIL DEPT OF MINES & MINE <br />DIV OF RE <br /> 5"S00°'W JEFFERSON STE 300 <br /> <br />p P o . sraia and ziv ends <br />'PR F - <br /> Postage ~a <br />9 <br /> Cenihed Fee <br /> $penal D¢Irvery Fee <br /> Renrcred Deinmq Fee <br /> flewrn Raceio~ Sndwino <br />ro Whom B Date Deineied <br /> Prawn Pepe~pr idow~n9 io Whom, <br />Dare. and Addressee's Atldress <br /> i Di AL Posiape <br />a Fees <br />e Postmark or Date <br />AL: <br /> <br />m S NDER: <br /> <br />9 <br />.Complete items 1 artNar 2 for additional services. I also wish to receive the <br />b •COmpleta ilam9 3. 1e, and 4b. follOWing SBNICes (10r en <br />o <br />~ .prim your name and address on the reverse of Ihia form co that we wn return this e%ir8 }e6): <br />i <br /> wrtl to you. a <br />o •~mm' finis /enn to the horn o/the mailpieca, or on the bade it spac e does not 1. ^ Addressee's Address Z <br /> <br /> <br />s •Wdta'Retum Receipt R nested' m the mailpiace below the snide number. <br />av <br />2. ^ Restdctetl Delivery d <br />y <br /> •ThB Relum Receipt will show to whom the snide was delivered and the date ~ <br />~ delivered. CgnSUlt p051m8510f tOr 199. <br />0 <br />v 3. Article Addressed to: 4a. Article Number <br />d IL DEPT OF MINES 6 MINEP,ALS Z 416 ~ <br />E DIVISION OF LAND RECLATIATION 4D. Service Type <br />°u 300 tv' JEFFEPSON ST STE 300 ^ Registered ®Cern~fed ~ <br /> P 0 BOX 10137 ^ Express Mail ^ Insurnd , c <br /> <br />SPRINGFIELD IL 62J91-0197 <br />^ RetumReceiptlorMetchandise ^ COG n <br />0 <br /> 7. Date of Delivery <br /> a <br /> T <br /> 5. Race . n <br />~ <br />' 8. Addressee's Address (Only L` requested ~ <br /> -' ernd !ee is pard) iR <br />~ ~ <br />ti. Signature: ~ <br />i. <br />4 X <br /> as Form 3811, December 1994 Domestic Return Receipt <br />