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i <br /> STATE OF COLOWO - <br /> Division of Minerals and Geology <br /> c i 1 <br /> Department of Natural Resources - I•, _l; <br /> 1313 Sherman Street, Room 215 <br /> Denver,Colorado 80203-2273 e, <br /> 341300000 �' t. 'f '4 - -- <br /> }_ <br /> Do <br /> MR JOSEPH <br /> y e •� <br /> •` •�°%4 DODGE <br /> PENN MOUNTAIN MININGINC -�• <br /> 1226 ELM AVENUE lflt c1 y <br /> CANON CITY CO 81212 <br /> OCT 0 S 1995 O <br /> Division of MlnefalS&Geo(o9Y <br /> • �1 atelicir 2 for additional s tmeea. I amlimb 0 iiiiiieb7 ' <br /> O • Mlles 3.ear 4a 8 b. 10lb eaWo fir an OWN <br /> • Print your name and address an the reverse of this farm so that we can feel: it <br /> o return this card W yeu. <br /> • Atheist,this form to the front of the meilpleca,or on the beck if space 1. ❑ Addressee's Address <br /> don not permit. <br /> • Write"Return Racelpt Rapwsted"on the mallplace below the article rwmber 2. ❑ Restricted Delivery J <br /> E • 7hegattrm Receipt will show to whom the article was delivered and the date <br /> ofifiverao. Consult postmaster for fee. i <br /> 3. Article Addre sed to: 4a. Article Number l <br /> tG1rTlr� nllAlnv�p C 4 . Service 1� <br /> NNN �1.J1 ❑ Reoispietered ❑Insured <br /> �l <br /> 'y�.71yy� Y1.t2 12 Comfled ❑COD <br /> ❑ Express Mail etufn Receipt for <br /> 7. Date of Delivery <br /> ) <br /> 6. Signature (Addressee) 8. Addressee's Address(Only if requesIftf 'j <br /> and fee is paid) <br /> 6. Signalrm Plig" <br /> I <br /> PS Form MY,DlaowrtYo 1101 tttllitrOteY6—Q7M RECE <br />