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m SENDER: <br />N I also wish to receive the t <br />y Ces. <br />.Complete items 1 ardor 2 for additional ser }olloWing services (for an <br />m •Completa items 3, 4a, and 4b. <br />our name antl address on the reverse of this torn an that we wn return this <br />•pdnf eMre fee): <br />u <br />~ <br />d y <br />card to You. <br />.Mach this form to the from of the mailpiece, or oa the Cask if space does trot <br />1. ^ Addressee's A reSS .~ . <br />~ <br />d <br />permit. <br />• Wdte'Retum Receipt Requesfed'on the mailpiece below the article number <br /> <br />2. ^ R05ldcied DeIlVery ~ <br /> <br />n , <br />y <br />« .The Return Receipt vnll show to whom the article was delivered and the date CODSUIf p0atmaater for fee. d <br />~ tlelivered. ~ <br />0 <br />•~ 3. Ar <br />d <br />Ti <br />0 <br />U <br />7j <br />¢I <br />O <br />O <br />5. R <br />w <br />5 6. S <br />0 <br />T <br />PS l <br />n <br />be . <br />~~J~ ~~O / <br />~ ~Jo~LP ; <br />4b. Service Type d <br />^ Registered ~ertified ~ <br />^ Express Mail ^ Insured a , <br /> <br />^ Return Receipt for Merchandise ^ COD 7 <br />. <br />7. D of /~//QJ live ~ <br />~ <br />~ ~ f <br />~ ' <br />T . <br />'Y <br /> <br />Addressee's Address (Only if requested <br />8 Y <br />a , <br />. <br />and lee is paid) - _ _ ~ F . <br />3eceipt <br />- - - ---+ <br />431 267 <br />P le <br />for Certified Mail i~ <br />~~ <br />2 <br />MS DOROTHY BLAKE <br />BLAKE MINING COMPANY <br />P 0 BO% 740 <br />NIICLA CO 81424-0740 <br />f NSIr~~hce Coverage Provided. <br />not use for International Mail See reverse <br /> "~bROTHY BLARE r <br /> N <br />O BO% 740 <br /> CeL~°0740 <br />~ <br /> Postage <br /> Cenfied Fea <br /> Spedal Dalivary Fea <br />• <br /> Restricted Delive~ifee "~,>> ~ <br />n <br />~~ .s <br /> Return Recei <br />r~ho ng ro ~ ~ <br /> Whom 8 Da(6_De6 red <br />n Realm ~ ShmrilAW ~ <br />Q Dale 8 ea's ~ <br />D TOTAL P e 8 ees $ ~ ~ ~ <br /> <br />'~ Posbnerk or D '`~ <br /> ~ ' <br />O - V! C <br />i a <br />C <br />