Laserfiche WebLink
\~~oR6r~ti~,uI~K- <br />Dn~ <br />~~_ Complete items 1, 2, and 3. Also complete <br />( ~ item 4 if Restricted Delivery is desired. <br />} ~ Pdnt your name and address on the reverse <br />so that we can return the card to you. <br />(~ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1 t. Article Addressed to: /{ <br />'PQr~ ~acvn.ey l~omrn~n%o7' <br />{ ~~r ~~ ~a yy~ <br />RECEIVED ~P~~- f?~ 6~ <br />~-- MAR 21 2002 M "~ ~ <br />~/..~_ aoaa-o ~ 3 <br />Division of Minerals and Geology <br />A. Received by (Please Pnnt Clearly) B. Date of,Deljvery <br />x.0/2/ ~uRMalenl 3.-a~-a~:; <br />0 S' na re <br />n`, 2~~e~~[ ^Agent-. <br />'~/ Y"~- ~ ~~'"'N~"~/ O Addressee ": <br />D. Is delivery address different from aem 11 ^ Yes t <br />If YES, enter delivery adtlress Oekiw: ^No 'i <br />b- <br />3. Service Type ~ ~: <br />^ Certified Mail ^ Express Mail <br />^ Registered ^ Re[um Receipt for Merchandise <br />' ~ ,/~'/~ ) _ y ^ Insured Mail ^ C.O.D. ' <br />`~~+n~ hG~•Qti /7 T f l 6(.L !~ / / 4. Restdcted Deliveryt (Extra Fee) ~ ^ Yes <br />2. Article um r (Copy Irom service /abe0 , <br />I <br />PS Form 3811, July 1999 Domestic Retum Receip£ 102595-0O~M-0952 <br />h _ _ _ _. _ _ .. .> . ~_~. _._r~• <br />U.S. Postal Service <br />CERTIFIED MAIL RECEIPT <br />(Domestic Mail Only: No Insurance Coverage Provided) <br />oI ~FA~LA; C~ E~40 ~ . <br />ru <br />4.34 <br />!! <br />Po~aaa <br />N s <br />' ~ <br />ra Certified Fee ?.IO c <br />Q <br />0 <br />~ Retum Receipt Fee I.S~ / <br />S (Endorsement RequireQ) <br /> <br />~ ResMped DelWery Fee <br />C <br />C <br />(Endorsement Required) <br />~ <br />Total Postaee 8 Feoa $ 3.44 ~9 <br />0 <br /> <br />dIT •0604 <br />09 Sy <br />S <br />Pastor <br />erk~j t'IpTK9 <br />f <br />ar PO Box No. <br />