Laserfiche WebLink
I <br /> RECEIVES x ' <br /> MAR 2 5 1997 { <br /> Divisiin ei-Minerais Geology <br /> : .- P 720 678 553 <br /> RECEIPT FOR CERTIFIED MAIL <br /> NO INSURANCE COVERAGE PROVIDED <br /> NOT FOR INTERNATIONAL MAIL <br /> (See Reverse) <br /> Sent to <br /> Street and No. 10112 <br /> P.O., late and Zjl ode <br /> of j]] no ay6 <br /> Postage S <br /> . L <br /> Certified Fee <br /> s r <br /> Special Delivery Fee <br /> Restricted Delivery Fee <br /> 'a Return Receipt showing ` �p <br /> to whom and Date Delivered <br /> N <br /> � Return Receipt showing to whom, <br /> � g <br /> Date.and Address of Delivery <br /> TOTAL Postage and Fees S � <br /> 0 Postmark or Date <br /> /M(147 _ <br /> o SENDER: I also wish to receive the <br /> 4 v ■Complete items 1 and/or 2 for additional services. <br /> ■Complete Hems 3,4a,and ab. following services(for an <br /> o ■Print your name and address on the reverse of this form so that we can return this extra fee): <br /> card to you. c <br /> o p sP 1.❑ Addressees Address ` <br /> § ■Attach this form to the front of the mail iece,or an the bads if ace does not <br /> permit, 4 <br /> m ■WHte'Retum Receipt Requested'on the mailpiece below the article number. 2❑ Restricted Delivery v <br /> ■The Return Receipt will show to wham the article was delivered and the date <br /> delivered. Consult postmaster for fee. <br /> o <br /> m 3.Article Addressed to: Article Number 2 a <br /> 7 e6 <br /> y E at �(di S/µ r .Service Type d <br /> Registered Q l Certified <br /> ' 11 L ❑ Express Mail ❑ Insured <br /> '[ T� v <br /> ❑ Retum Receipt Nlerchandse [3 COD <br /> ' c <br /> • ' �, �,.�ad d�'� T � � �a,`6 r 7.DatAre <br /> > <br /> 5.Received By:(Print Name) S.Addte fs'Add y if requested <br /> z and it :iQ �G n• r <br /> 6.Sign r :(Address or Ag t) <br /> { ' Ps Form 3811, Dece ssa Domestic Return Receipt <br />