ENFORCE31021

• Permit No: C1981041
• IBM Index Class Name: Enforcement
• Doc Name: CERT MAIL CARDS
• Violation No.: CV1996010
• Media Type: D
• Archive: No

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•comgete Nems 1 and/or 21or additional services. I also wish to reCBIVe the
•COmgme items 3, 4a, end 4b. }OIIOWIng SBrvICBS (}Or an
name end address on the raverta of this form so that we wn velum this
•P~; oro BMra 1ee):
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•Adech this loan to the Imnt of the mailpiece, or on the bads if space does not } , ^ AddfeSSBe'S Addfe55
permit. d
~ Wdte'Rerum Rea9ipf Requested' on the mailpiece below the article number. 2. ^ R05tricled DBIIVery y
•The Retum Receiq wiN show to wfgm tM snide was desverad end Ina Bete
delivered. ConsUlf p05fJrlaster }Or }ee. ~
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3. Ar~cle Addressed to: 4a, Artlcle Number o
LARRY M RESCHKE Z 416 942 580 ~
POWDERHORN COAL COMPANY 4b. Service Type
P 0 BOX 1430 ^ Registered ®Certified ~
PALISADE CO $1526 ^ ExpressMail ^ Insured m
^ Retum Receipt for Men3landlse ^ COD ~
7. D of Delivery 8
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rm B.•Addressee's Address (OMyifrequesled ~
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-9' grrahrre- dresse or A~En) . o - .. I

PS Forth 811, December 1994 ~t _ Domestic Return Receipt

Z 416 942 58~

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Receipt~~f~' D~'~°'-
Certifie¢i~ll~il Nov C-96-10
No Insurance CovereBe rove e
~~ Do not use for International Mail®
ISee Reverse)
seer m LARRY M RES HKE
OWDERHORN COAL COMPANY ,
Sneer ane No 1
P 0 BOX 1430 to
P 0, stale ar0 ZIP Cntle J
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ALIS E C 815 26
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Cemr~etl Fer: ~

$peCial DeLVery Fee
flasinUetl Delivery Fee
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Relorp PeePPI $n C R~
ro venom B Dare e~ etl 9~
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Rewm ReceiPr 5 ow. nom 1 ~
Dare, antl AOtlre s A 5 ~ 1f
TOTAL Postage
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