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ENDER <br /> o .Comptele itama andtgr 21or a! >al swvices. I also wish t0 r-'aiVe the <br /> w •Complete 2 aa,and Z. foNorving ser�(for an <br /> 0, -Print your nam at cn averse o9W4 form s1that we can return this extra fee <br /> card to you. ai <br /> aAfl�t this tome to the front of the mailpiece,or on the back if space does not 1. ❑ Addressees Address Z <br /> w aWnte•Ratum AWipt Requested'on the mailpisce below the anicla number. 2. ❑ d Restricted Delivery 0 <br /> $ 0The Rolm Receipt will show to whom the anide was delivered and the date ) <br /> delivered. Consult postmaster for fee. <br /> 0 3.Article Addressed to: 4a.Aftf�le"Numb ... w <br /> n MR JOHN V BROWNING � 76 �o u v <br /> PENN MOUNTAIN MINING 4b.Service Type <br /> 6182 S 2855E ❑ Registered rtifietl 0 <br /> OGDEN UT 84403 ❑ Express Mail ❑ Insured m <br /> ❑ Retum Receiplfor erchandise ❑ COD <br /> .2 <br /> 7. Date of elivery <br /> G 'a <br /> S.Received By: (Print Name) B.Ad essee' Address(Only if requested <br /> and fee is aid) t <br /> t— <br /> g 6.Signature, (Addressee or Agent) <br /> T X <br /> w <br /> PS Form MI, December 1994 Do Silk Return Receip <br /> Z 163 Otis 39 <br /> Receip=,foras Certi c <br /> No Insurance Cov I e•r Cit.Do not use for Inter; t - « <br /> (See Reverse) C <br /> s< JOHN v ]R3OWNING U <br /> Ism s <br /> 5 E <br /> P0O� z it r c <br /> o + 'a' <br /> Postage ? t <br /> L6 <br /> Certified F N <br /> o <br /> Nspacial D every F <br /> cc <br /> Reseicted livery Fee <br /> (b <br /> Rwten Receipt ,n9 S <br /> tb NTom a'Dme 5V <br /> Return Receipt showing to Mom. L <br /> Dote.and Addressee's Address <br /> TOTAL Postage <br /> a Fees s .- <br /> Postmark or Date <br /> 'IIIAI'i�'� <br /> I <br />