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<br />Willtis Company, Inc. McEndaffer Mine <br />M-2010-034 County Adequacy placement receipt. <br />R Complete [tams 1, 2, and 3. Also complete <br />Item 4 if Restricted Delivery Is desired. <br />¦ Print your name and address on the reverse <br />i -so that we4M Mum the'MdtoYou.- <br />¦ Attach this card to the back of the mailpieoe, <br />or on the front if space permits. <br />1. Article Addressed to: <br />IJFzz av t.?r Cler k <br />T ThcG &OAAb, <br />91.' / O tzi Sf• <br />4ree(07 . C° C?bG of <br />A. Sign dre <br />X'' Agent ' <br /> <br />? Addressee <br />Bad L$WWt9dlali"-v&&' O. Date of Delivery ` <br />D. Is delivery address different from item 1? ? Yes <br />If YES, enter delivery address below: ? No <br />3. Service Type <br />RZ [Hied Mail ? Express Mall <br />? Registered A;PRetum Receipt for Merchandise <br />? Insured Mail ? C.O.D. <br />4. Restricted Delivery? (Extra Fee) ? Yes <br />2. Article Number 7004 0750 0002 5692 4658 <br />Mansfer ftm service kfto <br />PS Fort 3811, February2004 Domestic Return Receipt Io259502-W1540 <br /> .o <br />CD <br />L-n <br />CERTIFIED <br />MAIL. RECE <br />IPT <br />-a (Domestic O nly, <br /> • <br />te 7 <br />A.. <br />C <br />USE <br />n <br />. <br />`t, <br />Postage <br />s .3 4 <br /> <br />oca oo y <br />r u <br /> <br />O <br /> <br />certified Fee <br /> <br />2 , So <br />o <br /> <br />? <br />/ P <br />C3 <br />p <br />Retum Redept Fee <br />(EndorsemeM Required) ostmark <br />d <br />ere Q <br />O??l <br />r-3 <br />Ll Restricted Delivery Fee <br />(Endorsement Required) I, <br />b <br />N <br />0 <br />Total Postage & Fees /f ..LLA <br />$ <br />S <br />C3 <br />O ant o <br />r n <br />'FS <br />?J ( <br />C 61t? <br />vQ <br /> / <br />. .... ..........