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u <br />• <br />III IIIIIIIIIIIIIIII i <br />F11e# P 880 733 Yy8 <br />;ttted Mail Receipt <br />•..~ No Insurance Coverage Provided <br />~ ~ Do not use for International Mail <br />~ r^a*..Y:o (See Reverse) <br />~.~ Sent 10 _ _ _ <br />WEST VIRGINIA DEPT OF ENERGY <br />DIVISION OF MINES AND MINERAL <br />1615 WASHINGTON STREET EAST <br />CHARLESTON WV 25311 <br />.y <br />~ Q <br />NV <br />CL= <br />C~~ <br />(~ Q <br />o <br />~ ~ <br />~ 0 <br />j <br />~ ~ <br />f"1 O <br />r to <br />r ~ <br />(~ E <br />~LL <br />~N <br />a <br /> <br />Dosage <br />cemhetl Fee ~ <br />Special Delivery Fea ~'* <br />V <br />Reslrictetl Delivery Fee <br />Return Receipt Shoring <br />to Whom 8 Date Daliveretl <br />Return Recalp Shavng to Wham, <br />Oate, 8 AtlGress of Delvery <br />TOTAL Postage <br />8 Fees <br />" <br />rbslmark or Data <br />O <br />S- -:DER: <br />- ~._emplate kerns 1 andlor 2 for additional services. <br />^ i.omplete items 3, end 4a & b. <br />Print yodr nameaRdaddres~ on the reverse of this form so <br />that we cart bPttrm this card YO you. <br />• Attach this idrrit tott~ fro thermailpiece, or on tha <br />brick iF space does not p~Ymt1..~ r <br />•~ Write "Return Receipt Reque d"-on the mailpiece Next to <br />the article number. C~ <br />to: <br />1 also wish to receive [ha <br />following services Ilor an extra <br />feel <br />i. ^ Addressee's Address <br />2. ^ Restricted Delivery <br />f' t1 N l7 <br />IaEST VIRGINIA DEPT OF ENERGY 4b. ServiceTypa <br />^ e ist d, <br />DIVISION OF MINES AND MINERALS, rejf; <br />1615 WASHINGTON STREET EAST ;l <br />CHARLESTON WV 25311 <br />¢US. r,RO: two-prueat <br />.;:.: <br />L <br />g'~ ~% <br />'~~}n f;~Eei for <br />n an ise <br />r <br />`Tess lOhly ~e t d <br />M•~~~i <br />RETURN RF~`,& <br />. ~ <br />~ ~ .~ <br />• <br />