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C f i'eA t� ca. , I - L(-)C- <br />R eP 1 <br />• Complete items 1, 2, and 3. Also complete _ A. Ignature <br />item 4 if Restricted Delivery is desired. " ,1� t, ❑ Agent <br />• Print your name and address on the reverse y V• ❑ Addressee <br />so that we can return the card to you. Receiv Ic�(Pfint� Na e) C. Date of Delivery <br />■ Attach this card to the back of the mailpiece, ` i <br />or on the front if space permits. l <br />D. Is delive address different from item 1? 13 Yes <br />1. Article Addressed to: If YES, enter delivery address below: ❑ No <br />nMichael Iguchi <br />yah Grande Lodge and Elk Ranch <br />13211 Highway 160 West S. Service Type <br />Pagosa Springs, CO 81147 MCertifiedMail 13 Express Mail <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number <br />(Transfer from service fabeg ?011 3500 0 0 0 2 960? 5 0 7 3 <br />I PS Form 3811, February 2004 Domestic Return Receipt <br />:J• <br />M <br />0 <br />17POstage: <br />M Certified Fee: $0.66 <br />`° Return $3.10 <br />Er Return Fee: <br />$2.55 <br />o , Total Postage & Fees: r� <br />O (Ends <br />Restricted Delivery Fee $6. "2 <br />0 (Endorsement Required) <br />IM <br />tl) Total Postage & Fees <br />M <br />� <br />se, Mr. Michael Iguchi <br />1:1 Stro Ke ah Grande Lodge and Elk Ranch <br />,ti or f Y g <br />13211 Highway 160 West <br />Pagosa Springs, CO 81147 <br />102595 -02 -M -1540 <br />