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EXMrr R <br /> PROOF OF FILING WITH COUNTY CI ERK AND RECORDER <br /> P 02 939 570 <br /> Re <br /> ce Pt <br /> for <br /> Cart' ied Mail <br /> No Insurance coverage Provided <br /> Do not use for Intemstionaf Mail <br /> (See Reversal <br /> so RECEIVED ots <br /> et.rd do. <br /> JAN 3 0 1995 <br /> .,sus 21P Code , <br /> $ 3 Divisl. of Minerals&Geology <br /> Posupe <br /> candied Fee Q <br /> special DeIMry F. <br /> • Restricted Dalirery Fie <br /> Return Raupl Anwilp <br /> el to Whom a Dau Dellm <br /> eReturn pep m, <br /> c Dow, <br /> and <br /> TOTAL <br /> O e Fee <br /> Pos Date 17 <br /> MIt <br /> E <br /> LL <br /> 9tL-► <br /> r 0 SENDER: 1 also wish to receive the <br /> Complete hems t and/or 2 for additional services. <br /> O • Complete lams 3,and 4a 6 b. following services (for an extra v <br /> • Rim your rums and address on the mane of this form ao drat we can feel: <br /> O return tWa card to you. <br /> Attach this form to the from of the mailpiece,or on the back R apace 1. ❑ Addressee's Address y <br /> I C duns not permit. <br /> .r+ • Write"ReWm Receipt Repuasted"on are merrplece below the article number. 2. ❑ R <br /> 6 <br /> estricted Delivery <br /> l • The Ratum Reupt Will show to whom the article was delivered and the date tmi <br /> ' r delivered. Consult postmaster for fee.Ci3 5 <br /> m ( I <br /> v 3. Article Addressed to: i. s Article Number cc <br /> � N� : 0 <br /> iE � t oars <br /> \� �e. �sr� 4b. Service Type <br /> o n {� _``_ <\ ,�Q ❑ Registered ❑ Insured <br /> ly —\ I •� �e�� \ Jt� GC.�� Certified ^i7 � <br /> (uyi ` ( ¢n r rasa Mailr i <br /> Gfr�lec�. col """ ��GD 7. Date of DativQ v <br /> a ' <br /> T <br /> 6. Signature Wddrssseel 8. Addressee's dr ss if to ad it <br /> . and tee rs pai <br /> 8. Signature/Age GS <br /> ei I!i <br /> ` e PS Form 3811,Member 7997 *u_&oPo:t1i DOMESTIC RETURN RECEIPT <br />