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STATE OF COLORADO <br />Division of Minerals and Geology <br />Department of Natural Resources <br />1313 Sherman Street, Room 215 <br />Denver, Colorado 80203-2273 <br />341300000 <br />R~~~I~~® <br />NOV 0 ~ 2004 <br />Division of Minerals and Geology <br />~; <br />~ ~ <br />~~ <br />.x. a :.`1 rw.v-ri :'`•• _. r^. . y-c ar•;r~r. } ~ _. _c";;_., _ __' ..'>i-\~. <br />. _ .__ ~•-71~`Ci°~1 ~67D~~'D`i7F}.1'-~36.~~~6~b~~ ~ .;. <br />,•~~~ <br />p~ v <br />"~i' a~ <br />way ay.r <br />J~ •'~~ ~~ <br />a_ i~ P <br />Mr. Bill R. Addison,,.. "'^•~ '~~: °~,.-r :~, ~t". , ':,,, <br />J •. ., <br />Colorado Marble, L.I_,.~~F,;`~'~. ~~ ~ . . <br />15960 E. Cherokee Drive ~'°' SRS `~ ~~ ~ ~'-; .L ~ , . <br />Ball Ground, GA 30107 ~~~~~E.~. ~ - ~'" ~.• <br />''ge~,~~ . ~ -;- <br />~` <br />^ Complete items 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 <br />/ ~ ~,~ 7 <br />2. Article Number <br />(lAansfer from service labeq <br />~6 O <br />A. Signature <br />X ^ Agent <br />^ Addressee <br />B. Received by (Printed Name) C. Date of Delivery <br />D. Is delivery address different from item 1? ^ Yes <br />If YES, enter delivery address below: ^ No <br />3. Service Type <br />^ Certified Mail ^ Express Mail ~ <br />^ Registered ^ Return Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. ~ <br />4. Restricted Delivery? (Extra Fee) ^ Yes ~ <br />~"Y.%' i ~ <br />~_~,~_.._.LP 'F Vii. ~ <br />,~c,. <br />~~ ~ r <br />~ ~ 7~ <br />J -~ <br />"~ `-~ <br />{~. <br />~' <br />i8' ` <br />-~nu04cOd~„~ . <br />t <br />~1 <br />I <br />i <br />PS Form 3811, August 2001 Domestic Return Receipt <br />,. 102595-02-M-15401 <br />