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H <br />T <br />O <br />3 <br />fA <br />J <br />J <br />V <br />C <br />s <br />m <br />w <br />• SENDER: Complete items 1, Z, 3 and 4. <br />Pyt your adtlress in the "RE TUflN TO" spa:) an the <br />TRana ilea. F enure to do this will prevent this cartl IiOm <br />being rotprnetl f0 VOU, Th0 return receipt lee wdl prOVitle <br />you the name o1 Cne person deliveretl to end the date of <br />delivery. For adtlitionel fees the IOIIOwinq Mrvices are <br />available. Consult postmaster for led entl check Doxlesl <br />for servicela) requested. <br />1. ~ Show to venom, date entl atltlres, 07 delivery. <br />~. ^ Rettricted Delivery, <br />7. Article Adtlressetl t0~ <br />Trinidad Basin Mining, Inc. <br />P.O. Box 783 <br />Trinidad, CO 81082 <br />_3 <br />9. Type of Service: Article Numtrer <br />^ Registered ^ Insured .P 652 676 415 <br />®Certilied ^ COD <br />^ Express Mad <br />AlwaVS obtain signature of addressee Sagent entl <br />DATE DELIVERED. <br />Signature - assesjJ ~~~ <br />~ <br />x ~ :,t, zLi~ <br />&ghature - Agem ~ . ~ i <br /> <br />. <br />~ ~ <br />x _ _\ <br />7. Date of DeliverYi f <br />_~ <br />8. Adtlresseei Atltlress (O/VL }r lft lCQf( <br />` <br />\ <br />_ <br />l= :~ <br />\\ <br />0 <br />3 <br />m <br />C7 <br />9 <br />C <br />2 <br />n <br />m <br />.° ~ "' <br />P 652 676 415 <br />RECEIPT FOR CERTIFIED MAIL <br />NO INSURANCE COVERAGE PROVIDED <br />NOT FOR INTERNATIONAL MAIL <br />(See Reverse) <br />~~ <br />m <br />Ma <br />N y <br />d <br />m <br />t <br />~f <br />d <br />~m <br />s <br />MLL <br />~O <br />M <br />` E <br />LL <br />dl <br />i~ ~' <br />Sant to <br />' asin Minin Inc <br />Stre t entl No. <br />f <br />P. <br />l, Box 783 <br />P.O., State and ZIP Code <br />n s n~2 <br />Postage : <br />Certil(e0 Fee <br />Spec7al Delivery Fee <br />Restricted Delivery F C O <br />Relwn Receipt nQ~t - <br />to whom and D <br />~ <br />eliyn <br />Return receipt s t <br />Date, and Addr f D <br />TOTAL Postage <br />rSF <br />Postmark or Date <br />-- <br />