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RECEI <br />AUG 102012 <br />Division of Redaction, <br />Mining & Safety <br />U.S. Postal Service,,, <br />CERTIFIED MAIL,, RECEIPT <br />(Domestic Mail Only; No Insurance Coverage Provided) <br />For delivery information visit our website at www.usps.comv <br />Postage: <br />Certified Fee: <br />Return Receipt Fee: <br />Petit <br />(EndorsenTotal Postage & Fees: <br />Restrictet <br />(Endorserm.,., <br />Total Postage & Fees <br />;edified Mail F <br />• A mailing receipt <br />• A unique identifir <br />• A record of deliv <br />Important Remina <br />• Certified Mail mi <br />• Certified Mail is <br />• NO INSURANCE COVERAGE IS PROVIDED with uernrfeu , °,o,,. For <br />valuables, please consider Insured or Registered Mail. <br />• For an additional fee, a Return Receipt may be requested to provide proof of <br />delivery. To obtain Return Receipt service, please complete and attach a Return <br />Receipt (PS Form 3811) to the article and add applicable postage to cover the <br />fee. Endorse mailpiece °Return Receipt Requested °. To receive a fee waiver for <br />a duplicate return receipt, a USPS,8 postmark on your Certified Mail receipt is <br />required. <br />• For an additional fee, delivery may be restricted to the addressee or <br />addressee's authorized agent. Advise the clerk or mark the mailpiece with the <br />endorsement "Restricted-Delivery". <br />• If a postmark on the Certified Mail receipt is desired, please present the arti- <br />cle at the post office for postmarking. If a postmark on the Certified Mail <br />receipt is not needed, detach and affix label with postage and mail. <br />IMPORTANT: Save this receipt and present it when making an inquiry. <br />PS Form 3800, August 2006 (Reverse) PSN 7530 -02- 000 -9047 <br />Pt S - Sherman, R1n 215, Denver, CO 80203 <br />$0.45 <br />$2.95 <br />$2.35 <br />$5.75 <br />John Patrick <br />16038 Clover Ln <br />Dubuque, IA 52002 <br />PS Form 3800. August 2006 <br />See Reverse for Instructions <br />C1994-082 <br />SL-4 <br />Inspection Notification Letter <br />SLB /AHH <br />We. <br />