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x-03 <br />o? <br /> Postal <br /> CERTIFIED MAILT. REC EIPT <br /> (Domestic <br />Only; No Insurance Coverage Provided) <br /> <br /> <br /> <br />P- 777 7-? <br />°' <br />r-3 <br />M Postage i .r <br />$ r <br /> <br />? f <br /> Certified Fee <br />270; <br /> <br /> <br />C3 <br />Return Receipt Fee <br />(Endorsement Required) ? <br />r <br />nn? <br />we <br />sere <br />I{Pe <br /> c' <br />n <br />l <br />l <br />I3 Restricted Delivery Fee <br />(Endorsement Required) a <br />y c? I <br />! <br />c .a ' J <br />C3 <br /> <br />C3 <br />Total Postage $ Fees <br />$ <br /> <br />. <br />O ? <br /> <br />C3 or PO Box No. <br /> <br />¦ Complete items 1, 2, and 3. <br />item 4 if Restricted Delive Also complete <br />rY IS <br />¦ Print your name and addre <br />ss odesired. <br />n the <br />so that we can return the card to YO reverse <br />¦ Attach this card to the back of the ma <br />or on the front if space mallpiece, <br />Article Addressed to: permits. <br />2. Article Number <br />(Transfer from service /abeg <br />PS Form .33-88-71151 February 2004 <br />7007 0 17 0 <br />A <br />B. <br />by (Panted Name) U A <br />-7,k,l r - <br />I- - Sete of <br />RECEIVED <br />JAN Z 9 2009 <br />Division of Reclamation, <br />Mining and Safety <br />E3 Agent <br />D. Is delivery address different fro <br />If YES, enter m item ? ?Ne, <br />delivery address below: <br />L3 No <br />13. Service Type <br />Certified Mail <br />? Registered <br />? Insured Mail <br />4• Restricted Deliver <br />Express Mail <br />Return Receipt for Merchandise <br />? C.O.D. <br />?7 (Extra Fee) <br />0005 ? Yes <br />Domestic Return Receipt 4 317 3 7 4 4 <br /> <br />102595-02-M-1540