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~'~ <br />.~ ENDE ---- - ..___....- ----- ..- <br />v_° •Cangete name 1 enNOr 7 ror edtlidond ssrNCes. I also wish to receive the <br />e .Compels Items a, 6e, and fib. following seMces (for an <br />•Pdm your name snd address an Me nvene of tMe rorm w Met we can return This 9xtre 199): I <br />card to }ou. ai <br />~ •Nlech Mls roan to IM hap of iM mellplece, or on the beck II specs dose nal 1. ~ Addr9539e's Addf959 ~ <br />o eWMe'Aerum Aeoslpr Aequrutetl' an IM meAgea below the adlGe number. 2. ^ R93ldcted O91iV9ry N~ <br />~/ ~ •The Return Recelq wIA show to whin Me snide wee defwered erM ttre tlala <br />(y( ~ darvar.d. Consult pos6fiester for lee. g~ <br />y 3. ANGe Addressed to: 4e. Adlcle Number <br />Randal L. and Rozanne Andrews 2 ~ ( 5 E <br />4719 So. Pearl S[. ~ ab. seMce type o <br />Denver, CO 80110 ^ Reglster9d I$ c9mged <br />I ^ Express Mall ^ Insured 5 <br />n~~..'(( a <br />~~~" - ! s ~ ~~ ~Retum Receipt for MelThandlse O COD <br />i 7. Date of Delivery '~ <br />o <br />5. Received By: (Pdnt Name) 8. Addressee's Address (Only 11 requested ~ <br />and lee is paid) <br />g 6. Signature: (Addressee or Agent) <br />r X <br />- Ps Form 3811, December lssa ,ozsss-sr-9o,rs Domestic Return Receipt <br />..... g; l <br />C ~~ Cripple Creek & Victor GoId,~Jliing Company ~~ <br />~ A Joint Venture -Pikes Peak Mining Company, Manager's' <br />_.- • °'l: <br />O• `(J Operations Office ~"' ~ "r . ~g -c '~ . <br />(.X~ ~/ P.O.Box 191, 100 North 3rd Street 1 ! ~ <br />Victor, CO 80860 r . , I '•. 1 ~~ <br />(719) 689-2977 • FAX {719) 689-3254 ~ ~ { ~ ~• "l <br />~J... <br />NOT DEUV LE A° Ar,•Ur;ES~u, ~~ ~. <br />UN OIi1YA~D <br />Fofd at fine over top of envelope to <br />the right of the return adtlress <br />CERTIFIED <br />Z 217 656 268 <br /> <br /> MAIL <br /> <br />Randal L. and Rozarule Andrews <br />4719 So. Pearl St. <br />Denver, CO 801 10 <br />Il,rltlltrlll,lt,llrrllr„-„I.l <br /> <br />