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" `U ` ~-77^ ~~3 <br />,~ r//-~20 o y o0 3 <br />^ Complete items 1, 2, and 3. Also complete A. signature <br />Rem 4 if Restricted Delivery Is desired. ^ ~erR <br />^ Pdnt your name and address on the reverse ^ Addressee <br />so that we can return the card to you. B. Race ved by (Rioted Name) C. ate Del ery <br />^ Attach this card to the back of the mailpiece, ~ ~ ~ <br />or on the front If space permits. ~ n c~ OSI-r ii <br />7. Article Addressed to: ~ D. Is de b'erY eddrttss different horn Rem 17 ^ Yes <br />R YFS, enter delivery address below: ^ No <br />J ~'o~~lnr uw;r ~RS i <br />//~~ "' l~ /C~ C~y 3. Service Type <br />N p ~ D~ 3 ~~ ^ Certified Mall ^ Etrpress Mall <br />^ Registered ^ Return Receipt for Merchan0lse <br />(/•/ {n~,/~' ^ Inwrad Mail ^ C.O.D. <br />Cpl` /'7 ~(.'" 1..~(. ' ~/ ~O /~~ 4. ResMcted DelNeryt (Ectra Fee) ^ Yes <br />2. Article Number 701 114 ~~~3 565 6579 <br />(T,ansle, nom a __ __ _ _ <br />PS Fonn 3811, August 2001 ~ Domestic Return Receipt tazsssaz-M-tsto <br />Ta Ir ,~~G <br /> <br /> .. <br />r <br />°- H~D~03~ <br /> <br />UT Postage $ - <br />O <br />~ <br />Certified Fee <br />/ yr ' <br />b f PQstninrk <br />1 c <br />~ (Endorsement Raepquhedi j <br />~ ~ ~ ' ~ T <br />~A~ <br /> <br />O <br />p <br />gestnctetl Delivery Fee <br />(Endorsement Regmred) ~` <br />1- r <br />1 <br />$ , Y l~ t2 4 ~r <br />~ Total Postage & Fees , ~ ~~ .y <br />rl TO < /' ;/ ~•~~-' V)j~ <br />n <br />t <br />Se <br /> ~ <br />7 <br />~ <br />~ Street, Apt. No.; <br />or PO Box No. ~ 0 ~^< j~ - <br />..................... <br />// Off/ ~ ~ <br />.---....- <br />O ` <br />/-.. <br />...-. - .-.-..~~ K' '~ <br />RECEIVED <br />FEB 0 3 2004 <br />Division gf Minerals & GsDIDyy <br />