Laserfiche WebLink
I Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />I Print your name and address on the reverse <br />so that we can return the card to you. <br />I Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />Article Addressed to: <br />c <br />~~s~„7y~~ G;~;~~ C'l~~ <br />S 6 ~s `~ ~-~~~ <br />~Kr~-,, C 0 <br />~`~ ;~zG> --lSlo <br />.Article Number <br />(I7ansfer /rom service labeq <br />S Form 3811, February 2004 <br />Domestic Return Receipt <br />102595-02-M4540 <br />P~C~C~ V ~® <br />MAY 181005 <br />Division of Minerals and Geology <br />~ Complete items 1, 2, antl 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />~ Print your name and address on the reverse <br />so that we can return the card to you. <br />~ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />. Article/Addressed to: <br />~5~j//L~~~n ~Lt4 j~~ CL'/'Hi'/'I . <br />i.5a ~s~r ,~ ~e <br />Agent <br />^ Addressee <br />)ate of Delivery <br />D. Isd~rrvery address different irom @em t7 ~ Yes <br />If YES, enter delivery atldress below: `~-NO <br />JJ// <br />l~/~Ur'j ~~ 3. Service Type <br />~r Certified Mail ^ Express Mail <br />/ ^ Registered ^ Return Receipt for Merchandise <br />/~ ^ Insured Mail ^ C.O.D. <br />~~ ~~ <br />`/~j~ <br />C <br /> 4. Restricted Delivery? (Extra Fee) ^ yes <br />1. Article Number <br />(Transfer /rom service label) ,. t7 3 ~ 1 9 3 5 5 5 7 91 <br />'S Form 3511, February 2004 - Domestic Return Receipt <br />I Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />I Print your name and address on the reverse <br />so that we can return the card to you. <br />I Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />Article Addressed ton: <br />~Ib'~t.tn~`~h ~_ C'~h1k~~~~~is <br />rjo ~~~ e~ . NP\CS <br />~~ ~~t<< Imo` ~ . <br />~~ Cv ~o?ao <br />102595-02-M-1540 <br />A. Signature <br />~~, /f !/~ ~ ~ Agent <br />~GV l (r ~[~~ ^ Addressee <br />8. Received by (Pooled Name) i C. Date of Delivery <br />D. Is derrvery address dlttareni from ttem 17 ~ Yes <br />If YES, enter delivery atldress below: ^ No <br />f ~ 8 t ~.~c 1.1 <br />3. rvice Type ' <br />- Certified Mail ^ Express Mail ~ <br />Registeretl ^ Return Receipt for Memhandise <br />^ Insured Mall ^ C.O.D. <br />4. Restricted Delivery? (E#m Fee) ^ yes ' <br />Article Number 703 050 001 9355 3759 <br />(Transfer from service label) <br />3 Form 3811, February 2004 Domestic Return Receipt to2ss5-o2-M-r54o <br />A Signature <br />^ Agem <br />by (Printed Name) ~ C. Date of Delivery <br />D. Is deivery address dltferent from Item 17 ^ Yes f <br />If YES, enter delivery address below: r/ ^ No <br />L , <br />3. Servirs Type <br />~[Certitied Mail ^ Enpress Mal <br />CJ/ Registered ^ Retum Receipt for Merchandise ~ <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (Extra Feel ^ y~ ' <br />7003 0500 X001 9355 3766 <br />