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• C~mptete items 1 and/or 2 for additional services. 1 also wish to receive the <br />• plete items 3, and 4a & b. following services /for an extra <br />• P~ your name and address on the reverse of this form so feel: <br />that we can return this card to you. 7, ^ Addressee's Address <br />• Attach this (orm to the front of the mailpiece, or on the <br />back if space does not permit. <br />" <br />" <br />^ Restricted Delivery <br />2 <br />• Write <br />Return Receipt Requested <br />on the mailpiec e next to . <br />the article number. Consult postmaster for fee. <br />3. Article Addressed to: 4a. Ar[i le Number <br /> <br />_-- _ - J <br />P ldo ~ o <br />DEPT OF SURF MINING 4b. Service Type <br /> ^ Registered ^ Insured <br />RECLM & ENFORC .Certified ^ COD <br />CAP PLAZA TOWER 3 FL ^ Express Mail O Return Receipt for <br />FRANKFORT KY 40601 Merchandise <br /> 7. Dale of Ddiv r J ^ <br />7 <br />n <br />5. Signature (Addressee) 8. Addressee's ddress (Only if requested <br />~~ _ and (ee is paid) <br />6. Signature (Age tl <br />~c t~~./ . <br />Perm ~ 11 October 1990 r, u..pvo: reeo-zruet <br />"~i...a:...,..... ~... ~ .. <br />