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<br />.. <br /> ' <br />ui <br />rn l <br />~4~ <br />~ <br />~ <br /> <br />m 1 <br />F <br />Cf <br />• <br /> <br />r/1 <br />"' PaeleOe S <br />O <br />~ <br />rL Canlnetl Fea <br /> <br />~ Relum Receipt Fea <br /> (FStlorsemenl Requin#I <br />~ <br />O Resldctatl DalHery Fee <br />O (Entlorsement Required/ <br /> <br />p Total Poetape 4 Pea, $ <br />N <br />r1J <br />m Neme 11Plseae Print CIHNy <br /> Kag,5xy R. <br />Q" Street, Apt. No.; or PO Boy <br />Q' S''~ L1,S Ccti <br />o <br />M1 °--------~---~----------------~ <br />City, Bete, 21P~ 4 ^ , <br />IAlIT I0: 0976 <br />~~I~ <br />l°__ <br />~~ 1 ~ ~~ <br />w,6tL <br />6 <br />RECEIVED <br />AUG 1 4 2001 <br />Division of Minerals and Geology <br />• <br />m <br />e <br />SENDER: <br />I also wish to receive the lollow~ <br />in ^ Complete items tantl/or 2 for atldilional sen'ices. ing ServiCeS (lOr an extra lee): <br />rN Complete items 3. 4a, antl 4b <br /> ^ Pnnt your name and atltlress on the reverse of this Conn so Thal we tan return Ih~s Qi <br /> card to you. 1.pAddreSSee's Address u <br />d ^ Anadr this lortn to the Iron) of the mailpiece, or on the back it space does not <br />ermit <br />2. ~ RestriIXed Delivery <br />y . <br />p <br />^Wnte'Return Recrotpr RequeS(ed'on the mailpiece below the adirle number. in <br />~ ^ The Relum Receipt will show to whom tha ad¢la was delivered and the date 4 <br />O tlelnered. <br />y 3. Article Addressed to: ba. Article Number <br /> 70993~~a ~Y ~ <br />9s 3 / e <br />a <br />~ <br />E OAT R <br />r'YO7/$L(. 4b <br />Service T <br />e <br /> . yp <br />. m <br />~ ^ Registeretl $[Certilied <br /> 6 <br />~~lob <br />s Cav/+/TY rQort~ ®3 <br /> , <br />. ^ Express Mail ^ Insuretl <br />m <br />c <br />7~~n11Dr4fl /~ <br />w ^ Relum Receipt for Merchandise , ^ COD ~ <br />q ~ <br />T// 8Z <br />~ G/f~~ <br />~~' 7. Dale of Deryr~llvexx <br />/•e~~"~/ ~ <br />r <br /> r <br />D <br />r 5. R eiv : (P int Name) 8. Addressee's Address (Only it requested and c <br />W lee is paid) ~ <br /> f <br />c 6. Signature (Ad see ~A nf) <br />r <br />N <br /> PS Fonn 3811, December 1994 102595~99e 022 Domestic Return Receipt <br /> <br />