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M -aOk1 ~011 <br />-0 M (— <br />■ Cr -plete items 1, 2, and 3. Also complete <br />1 if Restricted Delivery is desired. <br />your name and address on the rever <br />at we can return the card to you. <br />* Affach this card to the back of the mailpi c <br />i the front if space permits. <br />1 " 1e Addressed to: <br />A. Signature <br />❑ Agent <br />X ❑ Addressee <br />B. Received by (Printed Name) C. Date of Delivery <br />Is delivery address different from item 1? LJ Ye: <br />If YES, enter delivery address below: ❑ No <br />Ir. Rick Domson <br />freeze Basin Resources. Inc. _ <br />O BOX 181 3. Service Type <br />layden, CO 81639 ❑ Certified Mail ❑ Express Mall_ <br />❑ Registered El Return Receipt fo —r ulerchenc_ <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 7009 2820 0003 5701 3548 <br />(Transfer from service - - __ - - -_— — <br />PS Form 3811, February 2004 Domestic Return Receipt 102595 -02 -M -1540 <br />