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L /? 1 <br />Prc? 01? ?? 1 r /: <br />M-zon2-ol? ', <br />rU <br />M .. <br /> <br /> <br /> <br /> <br />U <br /> Postage $ <br />M <br />rU Certified Fee <br />C3 <br />0 Return Recelpt Fee <br />(Endorsement Required) <br />O <br /> Restricted Delivery Fee <br />O (Endorsement Required) <br />rLj <br />L`0 Total Postage & Fees $ <br />O <br /> Sent 70 <br /> <br />C3 Street pt. No.; ^ <br />r- or PO Box No. ?j <br /> <br />Postmark <br />Here <br />r <br />? -- --- ------- 2------• <br />oU,0- 7? - S, e"O <br /> <br />RECEIVED <br />SEP 14 200 <br />Divi,iien of Reclamation, <br />Miming and Safety <br />¦ Complete items 1, 2, and 3. Also complete A. Si at e <br />item 4 if Restricted Delivery is desired. <br />X ? Agent <br />¦ Print your name and address on the reverse ? Addressee <br />so that we can return the card to you. <br />¦ Attach this card to the back of the mailpiece, B eceived b Prin <br />1T ) C. Da of Delivery <br />` _ ate, <br />6 <br /> <br />or on the front if space permits. Q <br /> <br />1. Article Addressed to: D. Is deliveryddress iff rent from item 1 ? es <br />if YES, enter dell ery address below: ? No <br />1 U&5 <br />Q?x 1 ? 7 ,SOS Coe <br /> <br />C I V Q 7 <br />JW 33 ? <br />Q <br />l Mail <br />? ? Express Mail <br />K <br />o R lst <br />ered ? Return Receipt for Merchandise <br /> Mail O C.O.D. <br />U $ P S 4. Restricted Delivery? (Extra-Fee) E3 Yes <br />7009 0820 0002 3681 6532 <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540