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SENDER: <br />• Complete items 1 and/or 2 for additional services. <br />• Complete items 3, 4a, and 4b. <br />• Print your name and address on the reverse of this form so that we can return this <br />card to you. <br />• Attach this form to the front of the mailpiece, or on the back if space does not <br />permit. <br />• Write 'Return Receipt Requested' on the mailpiece below the article number. <br />• The Return Receipt will show to whom the article was delivered and the date <br />delivered. <br />3. Article P <br />5. Received By: (Print Name) <br />R -A <br />6. Signatu dr s or Agent) <br />X <br />PS Form December 1994 <br />Seneca Coal Company LLC <br />Roy Kam <br />P.O. Box 670 <br />Hayden, CO 81639 <br />Cy�aq�� -o�z <br />CV- I- OoZ <br />NaLtu P rnposfd. <br />b SOD <br />I also wish to receive the <br />following services (for an <br />extra fee): <br />1. ❑ Addressee's Address <br />2. El Restricted Delivery <br />Consult postmaster for fee. <br />rvi <br />d. <br />rn <br />a <br />7008 1140 0003 4437 5548 <br />4b. Service Type <br />❑ Registered <br />❑ Certified <br />❑ Exprss#Mail _ ;;❑ Insured <br />❑ Roturi Reoetpt for Merchandise COD <br />7.Oate orDelivery <br />8. Addr ee's Address (Only if requested <br />and fee is paid) <br />Domestic Return Receipt <br />of <br />C <br />0 <br />O • . <br />C <br />H <br />