PERMFILE59479

• Permit No: M1977129
• IBM Index Class Name: Permit File
• Doc Date: 8/10/1977
• Doc Name: RECEIPT FOR CERT MAIL
• Media Type: D
• Archive: No

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~ SENDES: ~M reams. mJ 1.
Add rout Addreaa to the "SENIW TO" Rare on
Levene.
1. The Edbwing aervi« iF rtquated (check one).
Sha. to whom and date deGvend............ IS/
Sher W wham, date, ~ addrtM of deh'very.. 95~
RESTRICTED DELIVERY.
Show to whom and date delivertd ............. 65t
RESTRICTED DELIVERY.
Show to whom, date, and addrta o[ delivery 85~
3. ARTICLE ADDRESSED TO:
Bureau of land Mint
Federal Bldg.
Grand Junction, W 81501
S. ARTICLE DFICRIRtON;
REGISTERED NO. CERTIFIED NO. INSURED NO.

GUlaga aMYn A a1 aSaFaaaaa M a{ap
I hive rt«ived The aRICIC dncribed above.
SIGNATURE ^ Addreuce ^ Authorized agent
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DATE OF DELIV Y ~
POSTMARK

S. ADDRESS (CemPlata on1Y N rpuaaNdl _
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6. UNABLE TO DELIVER SEGUSE 'S
ITIA S
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• snvDER: Co.Plew Itrae I, z, and ,.
Add roar Addre io the "RBTTISPf TO" Reae o0
Tetft.
1. 1'he following aervl« a requtated (Check one).
Show to whom and date deh'veRtl............ I5~
Show m wham, date, A addma of delivery.. 95~
RESTRICTED DELIVERY.
Shaw to whom and date deliveaed ............. 65/
RESTRICTED DELIVERY.
Show to whom, date, and~addrtu of delivery 85T
2. ARTICLE ADDRESSED 70:
Kenneth Burke
Whitewater CO 81527
3. ARTICLE DESCRI-T/ON:
REGISTERED NO. CERTIFlED NO. INSURED MD.
aslaln of aMnwa w
I have rt«Ivld the article dt.Lribea abtwe.
SIGNATURE ^ Addressee ^ Authoriad ascot
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DATE OF DELIV ~ n
S. ADDRESS (Calnplsts avilY N npiiMtatn V1 ~•//s
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S. UNABLE 10 DELIVER SEGUSE ~ .. K'
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RECEIPT FOR CERTIFIED MAIL
ND INSURANCE COVERAGE PROVOIEO-
NOT FOR INTERNATIONAL MALL
(See Reverse)
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STREEI AND NO ~

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POSTAGE 5
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TOTAL POSTAGE ANp FEES S
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RECEIPT FOR CERTIFIED MAIL
NU INSURANCE CGVENAGE PflOVIOEO-
NOT FOR INTERNATIONAL MAIL
(See ReversG~
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