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SENDER: <br />0 <br />•Complete items 1 and/or 2 for additional services. <br />as <br />•Complete items 3, 4a, and 4b. <br />• • Print your name and address on the reverse of this form so that we can return this <br />en card to you. <br />• Attach this form to the front of the mailpiece, or on the back if space does not <br />permit. <br />• Write 'Return Receipt Requested' on the mailpiece below the article number. <br />• The Return Receipt will show to whom the article was delivered and the date <br />delivered. <br />3. Article Addressed to: <br />William A Bear <br />Bowie Resources, LLC <br />P.O. 483 <br />Paonia, Co 81428 <br />5. Received By: (Print Name) <br />i <br />Alm), I�LI <br />g 6. Signature: ( • resseerorAge <br />T x <br />Oi <br />PS Form 3 <br />UNITED '6'1�{�1��!?5TAf_igEF9tlkICE i i Si'. <br />- <br />ecember 1994 <br />7009 2820 <br />State of Colorado <br />Department of Natural Resources <br />Division of Reclamation, Mining & Safety <br />1313 Sherman Street, Room 215 <br />Denver, CO 80203 <br />4b. Service Type <br />❑ Registered <br />❑ Express Mail <br />❑ Return Receipt for Merchandise <br />7. Date of Dveq� J <br />I <br />8. Addressee's Address (Only if requested <br />and fee is paid) <br />• Print your name, address, and ZIP Code in this box • <br />. o {K &safety <br />Not s i g e `� lation <br />C - 2 <br />C - 19 9 6 -0 <br />f S1BIAHH <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 />0003 5700 6755 <br />❑ Certified <br />❑ Insured <br />❑ COD <br />Domestic Return Receipt <br />