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*"Momm' ' , <br /> A4 <br /> SENDER: . . . <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. Q `Agent <br /> 1 ■ Print your name and address on the reverse xz� Irl Addressee <br /> so that we can return the card to you. B. Wed by(P' Name) Dat of Delivery <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front if space permits. <br /> D. Is delivery address different from item 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: Memo <br /> Mr. Mp-rk A. Steen <br /> Gold f- Mines, Inc. <br /> 95--Rynolds Farm Lane 3. Service Type i <br /> CO 80503 A Certified Mail® ❑ Priority Mail Express— <br /> Longmont, i <br /> ❑Registered ❑Return Receipt for Merchandise 9 <br /> _ ❑Insured Mail ❑Collect on Delivery 1 <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7 014 015 0 0000 913 8 1978 <br /> (transfer from service labeq <br /> Ps Form 3811,July 2013 Domestic Return Receipt <br />