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<br />^' SENDER: <br />° <br /> <br />4 Complete items t en • $ for etldi[ionsl srtvicss. <br />e • Complete items 3. e~ 8 b. I also wish to receive the <br /> <br />fO110Win( 'vices Ifor an extra <br /> <br />~ <br />` • Print your name end .ass an tM reverse of this lorm sc that we can feel: \ •` <br />° return this card to you. <br /> <br />• Attach this form to the Iron[ of the meilpiace. or an the <br />back if space <br />7. ^ Addressee's Address ° <br />y <br />dose not permit. <br />° • Write"Return Recept ReRUestetl"on the mailpiece below the article number. <br />2. ^ Restricted Delivery _G <br />• TM Return Receipt will show [o whom the article was delivered erW the data ° <br />C dHiveretl. Consult Os[m85[er (Or fee. m <br />p° 3. Article Addressed to: 4a. rticle lumger ~ ~~ <br />/ ~ <br /> l <br />O <br />MR .TOSEPH C WELTS 4b. Service Type ° <br />SUMMIT PRESSED BRICK ^ Registered ^ Insured a <br />AND TILE CO ~Certitied ^ cOD .G <br />PO BOX 533 ~ ^ Express Mail ^ Return Receipt for •°~ <br /> Merchandise <br /> <br />PUEBLO CO 81002-0533 <br />7. Date o4 Delivery. <br />• f <br /> '.7 <br />~ f 'l~~i G <br />5,~ res 8. Addressee's Address (Only if requested x <br />F„ - and fee is paid) m <br />W L <br />~ 6. Signature (Agen 1 - ~ <br />i >` <br />° PS Form t t, December 1991 4 U.S.G P.O : [892-30]-590 <br />+4 <br />MINED LAND RECLAMATION 'ISION N ~ 0 0 69 3 ~ <br />1313 Sherman, Room 4"1.. <br />Denver, Colorado 80203 t , GATE ~D ~- 's <br />03) 866-3567 <br />! i ~ ~ <br />RECEIVED FROM --. ,_ rJ~~ <br />'~ ~-p RS 5 <br />THE SUM OF <br />K <br />^MO <br />FOR 'I ~ ~~ 1 y g _~ <br />AMOUNT CCOU T...... ~~ `~ / (J'~'l~ U.~ <br />AMOUNT PAIp ................ $ <br />P 296 SZS 757 <br />..: •. LOG <br />Receipt for Sa-~1 <br />°~ Certified Mail m-81-o7L <br />C~ No Insurance Coverage Provided <br />W ~ Do not use for International Mail <br />(~ A,~•". ISee Reversal <br />U Seni ~o lNNt S ( <br />s.. ~/' V <br />(~) Sveei a~~0 No <br />- ~ •s~a~e am ziP cone <br />r- p <br />Posia9• <br />~ •~ Cen nen Fee <br /> Specai Dee.~erv ree <br /> Pesn~ueu Dciwerv 4e <br />j .~ <br />a4o Rem~n Paca~Pi Sno'~~n9 <br />~o Vdnom 8 ~ - <br />'~ <br />~ Peiwn P- ~Pi S y <br />c <br />•e <br />Dme. a~ s na <br /> <br />r~ ~ <br />iOinL le <br />C~ & Fe. <br /> Postm. k o are <br /> ~.f <br />~LL ~ y <br /> <br /> <br />a <br />