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3. Article Addressed to: <br />Mr Daniel Bear <br />5. ReceLed By: (Print Name) <br />AN. i Q9 <br />6. Signature: (A re ee orAgynt) <br />X ( �4.t <br />co <br />UNITED STATES POSTAL S <br />PS Form 381 , e cember 1994 <br />iii <br />First -Class Mail <br />Postage & Fees Paid <br />LISPS <br />Permit No. G -10 <br />SENDER: <br />• Complete items 1 and/or 2 for additional services. <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 />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'Retum 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 />Bear Coal Company , k <br />1326 War Emblem Lane LI <br />Rock Springs, WY 8290 <br />• Pr1wt yp riame,. a{idress, and ZIP Code in this box • <br />St tegelOado V+ ' <br />aa�� <br />Depart tent of Natural Resources 1� �� , � <br />Division of Reclamation, Mining & Safety �C� Goa c � `` <br />1313 Sherman Street, Room 215 � o fR e sa s, <br />Denver, CO 80203 1gg1-03 <br />C..20 2_666 <br />� 2 � 12' d Or d e r to <br />Nonce an pena �tyl <br />P ay F axe <br />SLBI p,HN <br />ilijlih ll' 1 i+ illll' t 'E ri ll rirl l ll lilll li'll' li l i l i l " JIlll" <br />7009 2820 0003 5700 6830 <br />4b. Service Type <br />❑ Reglst/tre <br />J Express <br />7. <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 />d Certified <br />ail Insured <br />ipt for Merchandise ❑ COD <br />elivery <br />&Addressee's Address (Only if requested <br />and fee is paid) <br />Domestic Return Receipt <br />