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d SENDER: <br />o • Complete items 1 and/or 2 for additional services. <br />8, ■Complete items 3, 4a, and 4b. <br />d • Print your name and address on the reverse of this form so that we can return this <br />co <br />card to you. <br />> ■Attach this form to the front of the mailpiece, or on the bads if space does not <br />permit. <br />r, • Write Return Receipt Requested' on the mailpiece below the article number. <br />• ,t., •The Retum Receipt will show to whom the article was delivered and the date <br />0 delivered. <br />d 3. Article Addressed to: <br />a. <br />I <br />CC <br />cc <br />Oxbow Mining, Inc <br />P.O. Box 535 <br />Somerset, Co 81434 <br />L <br />PS Form 3811, December 19 <br />Ltoiso <br />SLR <br />per{ -eaoe. �C �ARcA- <br />7008 1140 0004 5015 2958 <br />5• ceived a (p = Name) / <br />P VI 1,Olt I l z`eiA r1.( lam-( <br />6. ign. re: (AddrA see o <br />x <br />I also wish to receive the <br />following services (for an <br />extra fee): <br />1. ❑ Addressee's Address <br />2. ❑ Restricted Delivery <br />Consult postmaster for fee. <br />4b. Service Type <br />❑ Registered <br />❑ Express Mail <br />❑ Return Receipt for Merchandise <br />7. Date of . -1iv: <br />❑ Certified m <br />1:3 Insured e <br />❑ COD <br />.2. <br />C ' <br />r• <br />8. Address; e' Address (Only if requested <br />and fee is paid) <br />Domestic Return Receipt <br />ai <br />u) <br />a' <br />0. <br />