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JGl\YGO <br />• Completo items 1 P-i/or 2 for additional services. I also wish to receive the <br />• Complete items 3 4a & b. following, ices por an extra <br />• Print ycytr name address on the reverse of this form so feel: `~ <br />that we can r~fern [his card [o you. 7, ^ Addressee's Address <br />• Aitacb,this rd~rm to the front of the mat(piece, or on the _ <br />pack if space Aoes no[ permit. <br />• Write ''Ftelurn Receipt Requested" on the mailpiece next Io 2. ^ Restricted Delivery <br />the article number. Consult oostmaster for fee. <br />Surface Mining Reclamation <br />State of Alabama <br />P.O. Box 2390 <br />Jasper, Alabama 35001 <br />Comm ~ ~ 79 « S8~ <br />Service Type <br />RegisF~ered ^ Insured <br />~Certitled ^ COD <br />~ Express Mail ^ Return Receipt for <br />Merchandise <br />Date of Delivery <br />Addressee's Address (Only if requested <br />and fee is paid) <br />6. SII ~~ n (r Agent f//M/~ <br />eU.S. GPO: taYO-273e6[ <br />St_ rv` <br />~"~dO~tP 179 165 593 <br />o Receipt for <br />o ~~ Certified Mail <br />~ No Insurance Coverage Provided <br />w.eo,~•.„ Do not use for International Mail <br />~ ~.•><M, ISee Reverse) <br />U <br />N <br />C <br />d <br />0 <br />N <br />C <br />(d <br />C <br />ll^~^ <br />v~ <br />CI <br />a <br />5 !!o <br />`Ar.+o rgMAkio <br />rs$r <br />Svee! ana no ..~p~ Q Qp$O.V S{- <br />.lJ ~ ~ <br />P 0 Siaie an,f ZIP ~ ~~ \ <br />f' C O <br />Postage <br />• F\ <br />~ 9 <br /> <br /> <br />SPeual Derv 14 <br />VO <br />aevnae0 Deine~r <br />aew.n aece~o! Snowing <br />!o Whom 8 Dale Deln•~ea <br />aemm Pece~pl Snowmq io Whom. <br />Dale. and AQd~e55ee~5 PEOless <br />'4L Postage <br />es C <br />9 <br />Poslma!k o! Dale <br />