2001-04-03_REVISION - M1977378

• Permit No: M1977378
• IBM Index Class Name: REVISION
• Doc Date: 4/3/2001
• Doc Name: Notice of Request for Release from Reclamation Responsibility.
• From: Sunnyside Gold Corp.
• To: San Juan County
• Media Type: D
• Archive: No

a; SENDER: wish to receive the
■Complete items 1 and/or 2 for additional services I I also also n services for he■Complete items 3,4a,and 4b 9
H ■Print your name and address on the reverse of this form so that we can return this extra fee)
T card to you.
> ■Attach this form to the front of the mailpiece,or on the back i(space does not 1.❑ Addressee's Address
y permit =
N ■Write"Return Receipt Requested"on the mailpiece below the article number 2.❑ Restricted Delivery u
Y ■The Return Receipt will show to whom the article was delivered and the date
delivered. Consult postmaster for fee.
o 3.Article Addressed to: 4a.Article Number
'700c o(.ao o6.x3 34-4.9 1(038 a
a Board of Commissioners 4b.Service Type `-
E P.O. Box 466 a
u ❑ Registered 19 Certified
Silverton, CO 81433 El Express Mail El insured
Uj ElReturn Receipt for Merchandise El
cc
7. Date of Delivery
cc 5.Received By (Print Name) 8 Addressee's Address(Only If requested
w and fee Is paid) r
i
6.Stgn�. (Addressee or t) f
0 7
PS Form 3811, DecemberA 94 102595-98-B-0229 Domestic Return Receipt
Postal
CERTIFIED MAIL RECEIPT
ece'Ved
(Domestic
-0 Article Sent To:
20 Er,
0) Postage
Oi�, Ovra,7 m Certil-4 Fee 11 1 n O
tO is fs' n
°fMi�er �0 m Return Recept Fee Ag(
als ^ n_I (Endorsement Required) 50 , � r I
Ve°/aw. O Q t I
_�yl Restricted Delivery Fee 2V
(Endorsement Requvred)
it 2Vo1
F-- L
E3 Total Postage&Fees $ q,5 2B h r
p Name(Please Print Cleariyr!to be completed by mailer)
----------------- C I
Board of Commi
- ----sioners - ---- -
- -------------- -- -- -- -
s
O Street,A pt No or PO Box No s
P.O. Box 466
r. City,Slate,ZIP-4
- ---------------------------------------------------------------- i
Silverton, CO 81433
iPS Forni3800,July 1999 See Rev rse for instructions i