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• Compleb items 7 and/or 2 for additional services. I I also wish to receive the <br />• ~ mplete items 3, and 4a & b. following services (for an extra <br />• ~ your name and address on the reverse of this form so feel: <br />th a can return this card to you. 1 <br />^ Addressee's Adtlress <br />• Attach this form [o the front of the mailpiece, or on the . <br />back if space does not permit. <br />" <br />" <br />2 <br />^ Restricted Deliver <br />• Write <br />Return Receipt Requested <br />on the mailpiece next to . <br />y <br />the article number. Consult postmaster for fee. <br />Article Atldressed to: 4a Arnde Number <br />ILL DEPT OF MINES &~ MINERALS g~ U ~ 7U ~ ~~ <br />DIV OF LAND RECLM ab. Service Type <br />^ Registered ^ Insured <br />300 W .7EFFERSON SS SUITE-300Certified ^ COD <br />PO BOX 10137 O Express Mail ^ Return Receipt for <br />SPRINGFIELD IL 62791-0197 ~ Merchandise <br />7. Dat liuerv <br />and fee is paid) <br />if requested <br />P'~m 1, October 90 aV.s. cPO. <br />