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SENDER: Complete Items 1 end 2 when edtlitionel services ere desired, end complete items <br />• <br />3 end 4. <br />Put your address i he "RETURN TO" n the revora9 Bide. Failure to do this will prevent this <br />r o you. Tha r <br />For <br />t ee will roviCe ou the name of the arson dellveratl <br />wi <br />t <br />a . <br />e i eee <br />s for atld' f~11 ng~ervr ere aver a e. onau t postmas <br />er <br />gpattbif <br /> <br />livered, d a e . <br />, e'gaddress. 2. ^ Restricted Delivery <br /> ,~ (Fmo c rge (Error chargr) <br />se ' ~ <br />~ 4. Article Number <br />r ~ ~t47 D3 s <br />1 _ <br />~~ <br />~ <br /> Type of Service: <br />V <br />~3,J <br />(' n _ ^ ReBlatered ^ Insured <br />~ <br />-E aU ~'Canifiatl ^ COD <br /> <br />I~ ly,_ <br />~ <br />~~ / <br />~ ~C/~3/ p <br />^ Expreaa Meil ~ foertMemhen0lse <br />g <br />Or <br />r <br />AlweYa abteln signature of eddretaee <br /> or spent end DATE DELIVERED. <br />5. S~ nature -Addres 8. Addressee's Address (OA2YJ <br />X s 1.R.v`~"v rcqueafed arrd fee paid) <br />6. Signature - nt <br />X <br />7. Date of Delivery <br /> ~~ <br /> ~ <br /> <br />77- ~s <br />P& ~ .,. Mu. i98$~ "^ *: Ppd. 99B9s21?~^B!63r _ ,. ;DOINES F~~7 IPi <br />MLR 13 <br />J_ r <br />~ ca f <br />i <br />O W o'¢ ~ <br />M1 F "' s H <br />¢~o ~ <br />-' W ii 'y <br />s U3g¢ <br />(` Aso h <br />LL w LL <br />.L <br />~ ao~ <br />W ~ <br />d U <br />W <br />a <br />13 S herman, Rm. 215, De v <br />I <br /> ry~ N <br /> <br /> ~ G 1= <br />° ~;~. <br /> ~ <br />a == <br />r <br /> v (~ <br /> UU ~ ,~ LL <br /> a " I <br />o <br />'S a <br />a <br /> w ~ a <br /> ~ <br /> 2 ~ y i d <br />~ °9 D <br /> <br />m <br />LL 0 <br />~'m <br />o 0 <br /> ° ~ a <br />¢ va <br />¢ a ~ <br /> m~ y m w m o <br />w <br />~ m ¢ ' <br />E <br />w ?'~ O <br />° t y > >3 3w r <br />m in a a U r° 2 ¢ S ¢ n ~ a° <br />MINED LAND RECLAMATION DIVISION N~ 011133 <br />1313 Sherman, Rorfm 2:5.., ~~~~/ ~] <br />Denver, Colorado 80203 DATE~19~- <br />(303) 866-3567 ~ $ <br />RECENED n- In A <br />FROM ~` ~1'~~P GLt~ t W -- <br />A ~ 1 ~~ <br />FOR <br />AMOUNT OF ACCOUNT...........$ <br />AMOUNT PALO ........ .... .......$ <br /> <br />.DOLLARS <br />D~Fi~CtH`K <br />^ M.O. <br />h~2 ~OU~ <br />BY <br />BALANCE DUE ...... ..... ...... ..$ <br />