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Y, r"i'F <br />Ccr4i'tJ RTIS FW <br />• Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />• Print your name and address on the reverse <br />so that we can return the card to you. <br />• Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />Paul F. Martin <br />DGMC <br />125 W Main Street <br />Farmington, NM 87401 <br />❑ Agent <br />. -. Addressee <br />B. Received by (Printed ame) 07t <br />, Y'-) <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />U Certified Mail ❑ Express Mail <br />❑ Registered 17 Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 7010 1060 0001 0936 1182 <br />(Transfer from serviceWel) <br />i PS Form 3811, February 2004T Domestic Return Receipt 102595.02 -M -1540 <br />a For delivery Information visit our website at www.usps.come <br />m Postage: $0.48 <br />Ir Certified Fee: <br />° $3.30 <br />Return Receipt Fee: _ <br />� R $2.70 <br />k <br />C3 (EnTotal Postage & Fees Me ' $6.48 <br />C3 Re <br />0 (Endorsement rtegmreu) <br />r3 Total Postage & Fees <br />r-i <br />Sent To Paul F. Martin <br />C3 /� <br />r-3 D G M C Sitreet, Apt IVo.; --- - - - - "" <br />r- -- POeox "o. --------- - - - - -- 125 W Main Street <br />-- - <br />City, State, ZIP +4 <br />Farmington, NM 87401 <br />