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SENDER: ComDlate items t end 2 when additional services are desired, and complete Items <br />3 and 4. <br />Put your address in the "RETURN TD" Space on the roverae aide. Failure to do this will prevent this <br />card from being returned to you. Th return reeei t lea will rovid ou the name of the arson delivered <br />to and the date of delive .Fore ibone ees t e o owing servtces ero eve a e. onau t postmaster <br />or ees en c ec c ox ea for additional servlcelal requested. <br />t. ~ .Show to whom delivered, date, end addressee's address. 2. ^ Restricted Delixary <br />(Exrm cMrgr) (Ermr a9rargtl <br />3. Article AddressedRO: 4. Article Number <br />~ 9 83? 3zZ <br />. ~, <br />C ~p~ ~ ~ ~ ^ <br />' ~~5 a O~Lt+Xi r/~~' Type of Service: <br />~-Cart'Ifietl d ^ CODS <br /> <br />[~ / ~1 <br />pP ~ <br />~k <br />' <br />~ ^ Express Malt ^ Retum ReceiGt <br />for Merchenoie <br />r~ <br />1'+ <br />41/H~ <br />V ( <br />25P~ r d 1 Alweya obtain aWnature of sddreeaee <br /> or agent and DATE DELIVERED. <br />5. Signature -Address <br />X 8. Addressee's Address (ONLY if <br />nga~rred and far paid) <br />6. Si store - nt <br />7. Det Dalive <br />~-3-~ <br />AS Form 3577; >`dPi~ 1988 + Rt,-S,{i.t_~ i486+24~-888_ _ D,9i18.A6'~~$~ECEIPi <br /> <br /> MINED LAND RECLAMATION DIVISION N O U ~ 9 8 ~ 5 <br />1313 Sherman 2 ~ q CC~~ 44 <br />Denver, Colorado 80203 <br />~ - 9 <br /> DATE <br />ts~ <br />(303 <br />) <br />8 <br />6 <br />6 <br />. <br />3567 <br /> ,,(r~ ,,,~ <br />/ <br />!~ <br />~ <br />., <br />~ <br />, <br />F DM ED ~L~L• ~i¢'/1..4FD~Q ~~ r $~ <br /> <br /> ~ DOLLARS <br /> <br /> ~7 ^~ %'r ^ CABH <br />FOR CIiY/Y\ ~R.P i~ 1 - 7 ('O'iY 7 /! rI~.2 ~ M OCK <br /> <br /> ou' <br />AMOUNT OF ACCOUNT. .. ......$ Q <br /> r11L <br />AMOUNT PAID ...... .. ...... ..$ U <br /> BALANCE DUE ......... .........$ BY <br /> <br />MINED LA' RECLAMATION DIVISION <br />131rSherman, Rm. 715 <br />Denver, Colorado 80703 <br />RECEIVED <br />FROM_ <br /> <br /> <br />AMOUNT OF /a.000M...........$ <br />AMOUNT PAID ...... ... ...... .$ <br />BALANCE OUE ... ...... ... ....$ BY <br />N~-7, 2258 <br />DATE ~" ~ ~ 19 <br />9D-1~7 <br />DOLLARS <br />^ CASH <br />i3~6F1ECK <br />^ M.O. <br />~ ~9ui <br />