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:_SjC-63 <br />A. <br />U.S. Postal Service,. <br />CERTIFIED MAIL. RECEIPT <br />(Domestic Mail Only; No Insurance Coverage Provided) <br />For delivery information visit our website at www.usps.com® <br />r%- <br />ra <br />m <br />ul Return Receipt Fee <br />C3 (Endorsement Required) <br />O <br />O Restricted Delivery Fee <br />(Endorsement Required) <br />O <br />r-q <br />171-- <br />C3 <br />P- <br />O <br />O <br />[1- <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 card to you. <br />¦ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br /> <br /> <br />ll <br /> <br /> <br />RECEIVED <br />JAN 29 <br />Z??: <br />Division ot Declamation, <br />Mining and Safety <br />? Agent <br />i3.(Received by nnted Narr*) I C. /e of eliv <br />// d <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 />2. Article Number 7007 0710 0005 4317 3690 <br />(Transfer from service label) <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-o2-M-1540