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U.S. Postal Service,. <br />CERTIFIED MAILTM RECEIPT <br />(Domestic Mail Only; No Insurance Coverage Provided) <br />For delivery information visit our website at www.usps.como <br />$0.44 <br />$2.85 <br />$0.00 <br />$5.55' <br />r- <br />O <br />11.1 <br />r- Postage <br />rU Certified Fee <br />0 <br />Return Receipt Fee <br />C (Endorsement Required) <br />D Restricted Delivery Fee <br />(Endorsement Required) <br />r-g <br />m <br />u7 <br />O <br />N <br />Total Postage & Fees <br />SENDER: COMPLETE THIS SECTION <br />COMPLETE THIS SECTION ON DELIVERY <br />B. Received by (Printed Name) <br />Y&cAAh ti /a r rk, {YD <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />A. Signature <br />X <br />4. Restricted Delivery? (Extra Fee) <br />n <br />❑ Addressee <br />C. Date of Delivery <br />0 Yes <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 maiipiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />---- it t ' /i�eer" <br />r-- <br />/-) // 1f/j// /OW <br />/ Y 87 %/ <br />Street, �//f !.[2 <br />or PO Box No. j V ,f _ 7 `ter( <br />City, State <br />P+4 <br />�' �.•1! <br />2. Article Number <br />(Transfer from service label) <br />PS Form 3811, February 2004 <br />3. Service Type <br />❑ Certified Mall <br />❑ Registered <br />❑ Insured Mail <br />7005 3110 0002 7206 7375 <br />Domestic Return Receipt <br />Express Mall <br />❑ Return Receipt for Merchandise <br />❑ C.O.D.' <br />102595.02 -M -1540 <br />'',2 AZeol <br />c`o S ,1vs , /Z o <br />sp 0g 2011 <br />Division or Reclamation, <br />Mining and Safety <br />