REP45440

• Permit No: M1981185
• IBM Index Class Name: Report
• Doc Date: 4/8/1996
• Doc Name: MAY DAY MINE PN M-81-185-ANNUAL FEE AND REPORT-NOV M-96-0180-CIVIL PENALTIES AND CEASE AND DESIST OR
• From: DMG
• To: SHALAKO INTERNATIONAL INC
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

m SENDER:
I ~ •COmplele items 1 and/or 2 for additional aervicea.
m •Complete itema 3, be, end bb.
m • Pnm your name and address on the rsvene of this form eo that vM ran return thin
I d card to you.
~ •Aaach this form to Ne hoM of the mailpiece, or on Iha batlc it apace does not
I ~ permit.
m • Wdta'Refum Receipt Requested' on the mailpiece below the ertitle number.
i $ •The Return Receipt will show to whom Iha Ntitle was deliveratl end the tle19
~ delivered.
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I also wish to receive the
following services (for an
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7. ^ Addressee's Address
2. ^ Restdcted Delivery
Consult postrnaster for fee.
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•Complete items 1 and/w 2 for additional samLea. I also wish to receive the
•COmplela items 3, ba, and 4b. }ollOWing servlCeS (fOr an
• Pnnt your name and address on the reverse of this brtn so that we can return this e%tfa fee):
card to you.
•Anach tn~s torte to the front of the mailpiece, or on the back it space does not
~. ^ Addressee's Address
permit.
•Wnte'Rerum Receipt Requesfetl' on the mailpiers below the article number.
2. ^ Restdeted DBIIVery
•The Realm Receipt will show to whom the anitle was delivered and the date
ostmaster for fee
Consult
delivered. .
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PS Form 3811, December 1994
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^ Registered 1~ Certified
^ Express Mail ^ Insured
~ Return Receipt for Merchandise ^ COD
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