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• Complete items 1, 2, and 3. Also complete <br />item 4 If Restricted Delivery is desired. <br />• Print your name and address on the reverse <br />so that we can return the card to you. <br />• Attqich ttris card to the bade of the mailpieee, <br />or on the front if space pemdts. <br />1. Ardde Addressed to: <br />Providence Mining LLC <br />PO Box 661 <br />Cripple Creek CO 80813 <br />Iii <br />eA em <br />D. le delvery addees dllerern from Item 1? U Yes <br />if YES, enW delvwy eddrees below: D No <br />3. Sarvloe Type <br />ZrCerHled Mal o Egress Mal <br />D Pagletared [$'Ae m Reoelpt for Meru mxbe <br />13 kamed Mdl 0 C.O.D. <br />4. Restricted Delvey? (Dme Fed) ❑ Yes <br />7007 2560 1111 3980 <br />U.S. Postal Service <br />CERTIFIED MAIL RECEIPT <br />(Domestic Mail Only: No Insurance Coverage Provided) <br />For delivery information visit our vvebsite at www.usps.com <br />M 7 - f ' <br />ccl <br />n- <br />PMWQO <br />$ <br />$0.46 <br />0662 <br />m <br />0 <br />d Fee <br />$3.10 <br />03 Pembnerk <br />C-3 <br />(E d=F* <br />$2.55 <br />Hem <br />C3 <br />Delivery Fee <br />C3 <br />� P'**" <br />$0.00 <br />Ln <br />Till Poke S Faft <br />1 $ <br />$6.11 <br />06/18/2013 <br />ti <br />C3 .01.4 sic �c L ` --�-:, , <br />.. <br />IL -MtL&LQ&L <br />