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SEI9DER: <br />• Complete kerns 1 endlor 2 for additional services. 1 also wish to receive the <br />• ' ~plete items 3, and 4a 6 b. fdlowing services 1(or an extra <br />• t your name and address on the reverse of this form so feel: <br />th~t~afie fan return this card to you. t. ^ Addressee's Address <br />• Attach this form to the front of the mailpiece, or on the <br />back if space does no[ permit. <br />• Write "Return Receipt Requested" on the mailpiece next to 2. ~ Restricted Delivery <br />the article number. Consul~os[master for fee. <br />to: <br />BEII^1IE COX T <br />OKLAHOMA DEPT OF MINES <br />4040 N LINCOLN RM 107 <br />OKLAHOMA CITY OK 73105 <br />ra. nrocie rvumoer ~ <br />~~ i° g G o i v .~ /. <br />4h. Service Type <br />^ Registered ^ Insured <br />~lCer[ified ^ COD <br />Express Mail ^ Return Receipt for <br />5. Signature (Addressee) £ <br />6. Signature (Agent) <br />,~yl c~CcJ -CL-« ~ <br />P:` ,.n 11, October [990 aLLS. : tYGO-27aeet <br />and fee is paid) <br />DOMESTIC RETURN RECEIPT <br />