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PSForrn 3800,-Januari, o.b <br />U.S. Postal Service <br />CERTIFIED MAIL RECEIPT <br />(Domestic Mail Only; No Insurance Coverage Provided) <br />Postage <br />Certified Fee <br />Return Receipt Fee <br />(Endorsement Required) <br />Restricted Delivery Fee <br />(Endorsement Required) <br />Total Postage & Fees <br />Postmark <br />Here <br />1 5 2011 <br />Sent To -" r <br />+ v e cna r�e <br />Street, A No.; i /� p � <br />or PO B ox pt No. v ?C 1' _ f . 'n�` / R0 c . I <br />Cit .fate, ZIP +4 t V l., 11 _l_1 Y <br />r V\ <br />'PS Forin 3800, January2001 <br />- See Reverse forInstuctions <br />id <br />CD tIc <br />1)fvision of Reclamation, <br />Mining & Safety <br />U.S. Postal Service <br />CERTIFIED MAIL RECEIPT <br />(Domestic Mail Only; No Insurance Coverage Provided) <br />Postage <br />Certified Fee <br />Return Receipt Fee <br />(Endorsement Required) <br />Restricted Delivery Fee <br />(Endorsement Required) <br />Total Postage & Fees <br />Sent To <br />Street, Apt. No.; <br />or PO Box No. <br />City, Stat. <br />NO oslna5 2011 <br />Here <br />Cann nr■ <br />E 0 ,' 1 ' 1 . 1 <br />e Reverse for lnstructions, <br />