Laserfiche WebLink
M1 <br /> • cor plm Ilia nWm 3 for addkWW services. I -'so wish to receive the <br /> • Complete,ne nd 4 a b. fovng services @or an extra <br /> • Print yow rnme,Ind e,dtlrMe on 1M reverse of the,form so that we CM feel: <br /> re,an We,card to you. ., <br /> Attach the,form to 1M from of the me,liD4ce,,or e,n the back If specs 1. ❑ Addressee's Addi <br /> = tlMe rot pe turn <br /> weRenumReceiptwiMau.tow mew <br /> mthe0 .baowwdWWthed@W number 2. ❑ RutricbdDNlvery <br /> • The flebrrn Receipt vela chow b whom the e,racM ern 6Wve,d erd the de,b <br /> eNYe,Atl. (.fMWIt postintaider for fee. <br /> 3. Article Addressed to: 4a. Artlole Number <br /> MR M C DERRICK 4b. Service Types `�(f <br /> UMETCO MINERALS CORPORATION ❑ COD <br /> PO BOX 1029 <br /> GRAND JUNCTION CO 81502 ❑ Fxpress Md� Merchturnandise <br /> ndise for <br /> F1 Mer h di <br /> 7. Date of Delivilk <br /> ¢ 5. Signature (Addressee) r a dd as (Only if requested <br /> r nd fee is peidl <br /> r <br /> 6. Si re IA entl 1' t' <br /> j PS Form �,Decernber 1901 a uenr.o.:tefaao zo` <br /> klW MnWRI PWWV <br /> P 296 525 903 �1 <br /> Spec. 8 <br /> Rec 'O r P L4 <br /> Cert f <br /> 0 <br /> N %o Insurance Coverage Provide.- <br /> � Do not use Ior international Mad <br /> .See Reverse) <br /> O MR M C DERRICK <br /> UMETCO MINERALS CORPORATION <br /> � PO BOX 1029 <br /> GRAND JUNCTION CO 81502 <br /> L9 <br /> N <br /> E <br /> oC - <br /> �w re, � � •;�„. <br /> CCV E <br /> GLL <br /> CIO <br />