2009-11-24_REVISION - C1984067 ‎(2)‎

• Permit No: C1984067
• IBM Index Class Name: REVISION
• Doc Date: 11/24/2009
• Doc Name: Certified Mail Receipt ‎(Termination of Jurisdiction)‎
• To: Landowners
• Type & Sequence: SL1
• Email Name: TAK
• Media Type: D
• Archive: No

• Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
• Print your name and address on the reverse
so that we can return the card to you.
• Attach this card to the back of the mailpiece,
or on the front if space per mits.
1. Article Addressed to:
Gri
Arness-MC ffin Coal Co `
C I O Connie Wilson
31477 E Nine Dr.
Laguna Niguel, CA 9267
A Sign ,W a [] Agent
B. Re Ived by ( Printed Numer C. Date of Delivery
), delivery address different from' , - U
Po stal
Er I ;
1:0
CERTIFIED MAIL. RECEIPT
'v C i
o -
( Mail O nly;
a Service Hype
rruu
0
$0.44
`°
postage*
$2• 80
o
Certified Fee:
Fee,
$2.30
°
a
Rot Return Receipt
$554
�-
(Endorse Fees:
Restrica Total postage & ,,,,/
Er
rn
(Endorse i
"
o
Total Postage 8. Fees
$
Ln
°
Arness-MCGriffin Coal Co
JJ
sn do Connie Wilson
or
- da 31477 E Nine Dr.
-------------------
Laguna Ni uel, CA 92677
• Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
• Print your name and address on the reverse
so that we can return the card to you.
• Attach this card to the back of the mailpiece,
or on the front if space per mits.
1. Article Addressed to:
Gri
Arness-MC ffin Coal Co `
C I O Connie Wilson
31477 E Nine Dr.
Laguna Niguel, CA 9267
A Sign ,W a [] Agent
B. Re Ived by ( Printed Numer C. Date of Delivery
), delivery address different from' , - U
If YES, enter delivery add b w:
h � ,
'v C i
a Service Hype
� ro
❑ Certined Mail
❑ EKP
E3 Return Recel pt for Merchandise
0 Registered
❑ Insured Mail
❑ C.O.D.
- 4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7 p05 p390 0002 8281 9189
(rransfer from service IabeO 102595 -02- tat -1540
Ps Form 3811, February 2004 Domestic Return Recelpt