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^ Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />i ^ Print your name and address on the reverse <br />! so that we can return the card to you. <br />~ ^ Attach this card to the back of the mailpiece, <br />~ or on the front if space permits. <br />i <br />~ 1. Article dressed to: /f <br />'. /~1,~. r Jl /[~/, ,~,~ ~ l ~ o ,~ <br />~ ~~~L~ ~~ <br />~ ~~~C~ ~~ <br />1 ~~ ~ o ~~ ~~~~~ ~ e <br />~,~ ~~ou ~~ ~~ . <br />12. Article Number <br />i (Transfer from service label) <br />PS Form 3811, August 20 <br />STATE OF LOS __ -- ....~ ~~:.....~.~_-- <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 />f11~~~~~ <br />NOV Q ~ 2004 <br />piuision of Minerals and 6eologb <br />A. Signature <br />^ Agent i <br />X ^ 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 ^ Retum Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Deliver~/1 (Extra Fee) ^ Yes <br />- ._ r. ~, <br />:i:. ~.1~-: .~.~~ <br />\.~'c~.,~~. <br />,; - <br />"J4l;Mp.' ~~'~ <br />~c~ -.~_: <br />i <br />~~- ....T <br />~;' <br />'.5.~~~..~._r'ti-. <br />7000 16 <br />~] ` <br /> <br />~ <br /> ~: c~uti ~c~~ ~rf~,, <br />..., <br />r, <br />>,~ <br />r9 ?` ~~ ~.~. ~Lr, <br />l, <br />~i,~. A <br />Mr. Bill R. Addison"'''~'~" ` ~ `" `' "` `~ <br />°.. <br />Colorado i~iarbie, L.L.C. ~'~E. , <br />15960 E. Cherokee Drive ~~~/ \` <br />Ball Ground, GA 30107 ~~'~ <br />i~ <br />~- -.... •s• .. i3 i~ 's ~ is ! i•' i { <br />lli!~=.{~,i;ii~=.~li??1:ti~=.~?i:i~?}:iit~:IF}~~i!si{~a <br />,, <br />i <br />i <br />i` <br />I <br />~_ X41 "~cs•Q, k , <br />~ ~~~ <br />~~ <br />~' ~ r 1 ", <br />f ~-,~.i, <br />~.~ ~~, <br />u':5 ~l~Ij <br />~.. t ~'~?i`'~ <br />,RA P9p pAAAOq?P <br /> <br />