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n. <br />m SENDER: <br />4 • Complete hems 1 endlor 2 for adtlioonel services. <br />O • Complete items 3, antl 4e b b. <br />~ • Print your name antl address on the reverse o/ this form so that we can <br />m return this cartl to You. <br />O • Atmch this form to the Iron[ of the mailprece, or on the back it space <br />~ does not permit. <br />m • Wnte"Reurn Receipt Rerauested"on the mailpiece below the article numhe <br />`L" The Return Recerpr will show to whom the article was delivered and the dot <br />~ tlehvered. <br />I also wish to receive the <br />following services tfor an extra Y' <br />tee): a <br />1. ^ Addressee's Address y° <br />2. ~ Restricted Delivery e ~ <br />v 3. Article Addressed to: 4a. Article Nfinb <br /> P 296 DOE <br />a. MS NANCY BAKER 4b. Service Type <br />p~ r J~1 b M MINING COMPANY ^ Registered <br />4 <br />n~ P 0 BOX 621 <br />tif'led <br /> FAIRPLAY CO 80440 ~/ <br />~J r~ ail <br /> • Q <br />C <br />,. <br />ostmaster for fee, o <br /> (t <br /> ~ <br />Z87 <br /> <br />^ Insured ¢° <br />^ COD ,~ <br />~ Return Receipt for ~ <br />Merchandise C <br /> <br /> 7. <br />O <br />dress (Only if requested ~r <br /> e <br />4 <br /> t <br />r <br />s Gy :~ <br />N PS For 11, ace bar 1997 AU.S. GPO: 1Y62 723-efY! DOMESTIC RETURN RECEIPT ~ <br />P 296,608 287 <br />5 <br />Receipt for ~ ~3.D$~ <br />~ ~ Certified fl ~- <br />~_ No Insure over ovided <br />N n ~g <br />0 .«~•r,4'~.~f Do not use or Irtip auonal Mail <br />qp lSee Reverse) \\° <br />U <br />d <br />c <br />N <br />Q <br />T <br />NC <br />C <br />C.. <br />C~C> <br />Cm <br />~' m <br />G <br />~~ <br />cho <br />,-o <br />~rr~M <br />R p <br />C LL <br />Q a <br />seat .o MS NANCY BAKER <br />M b M MINING COMPANY <br />Srteei and np <br />P 0 BOX 621 <br />P 0 siaie and 2rP Code <br />FAIRPLAY CO <br />80440 <br />Povage <br />Ca~unco rec <br />speuai Deiwery roe <br />Resrna <br />Pemm Re Sn°~,r'~ <br />io Wno ~ `~'v/1e/ <br />Rewm Rece~pr Snow.n io ~ nom <br />Ddre. antl Pdnre55ee'S 0.dnr 5 <br />!!~'~YS~~Iner is <br />Povmark or Dale ff-- . „ <br />v~til)~~1 <br />