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• Complete items 1 and /or 2 for additional services. <br />• Complete items 3, and 4a & b. <br />• Print your name that we can return and address on the reverse of this form so <br />this card to you. <br />• Attach this back if space does n to the front of the mailpiece, or on the <br />not permit. <br />• Write "Return Receipt Requested" on the mailpiece next to <br />the article number. <br />3. Article Addressed to: <br />Mogul Mining Company <br />James Dempsey Jr. <br />1800 Huntington Building <br />Cleveland, OH 44115 <br />�5. Signature (Addressee) <br />Signature (Agent) <br />PS Foam 3811, <br />ru <br />_G <br />ru <br />..o <br />Q " <br />I Y <br />a <br />I also wish to receive the <br />following services (for an extra <br />fee): <br />1. ❑ Addressee's Address <br />2. ❑ Restricted Delivery <br />Consult postmaster for fee. <br />4a. Art cle Number <br />P 652 986 262 <br />4b. Service Type <br />❑ Registered ❑ Insured <br />• Certifiejk ❑ COD <br />❑ Expres Mail ® Return Receipt for <br />Merchandise <br />7. D <br />f <br />liv_eyy �� <br />8. Addressee's Address (Only if requested <br />and fee is paid) <br />1 990 - 2734161 DOMESTIC RETURN RECEIPT <br />S86I. awn(' Vile wJ0,4 Sd <br />