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<br />~ Complete kerns 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />`~~ ' ~ Print your name and address on the reverse <br />~~ so that we can return the cans to you. <br />^ Attach this card to the back of the mailpiece, _ _ <br />or on the front If space permits. <br />1. Article Addressed to: <br />Si ra ( <br />^ Agerrt <br />'^7 t?.(~ t^'1 ^ Addressee <br />B. Received by (Panted NemeJ C. Date of DelNery <br />EGFNI nRPAMrHA((- ~a-a6-o,6 <br />D. 15 delivery address diRererrt from item 17 ~ Yes <br />It YES, emer delvery address below: ^ No <br />~'P: N4~D~PN <br />I <br />Division of Minerals and Geology <br />Room 215 <br />1313 Sherman Street <br />, <br />Denver, CO 80203 a. service Type <br /> ~GrtiFlad MaA O Fxpresa Mall <br /> ^ Registered ^ Return Receipt tar Merchandise <br /> ^ Insured Mail ^ C.O.D. <br /> 4. Restrlcted.Delivery'1 (Extra Feel C7 Yes <br />~' Ad~`le"""'ter 705 182^ 0006 1122 0566 ~ <br />~ <br />I <br />(Transrertrvm service label) <br />PS Form 3811, February 2004 ~ - Domestic Return Receipt tmsss~oz-roi-tsoo <br /> <br /> <br />