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KAP M- 19 ") �- U S'C <br />Cer�iqed Mai I <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 />Andrea Holley <br />H & H Stone <br />P.O. Box 246 <br />Dove Creek, CO <br />2. Article Number <br />(transfer from service label) <br />❑ Agent <br />i� ❑ Addressee <br />ecei by (Prin�e Narr l C. Date of Delivery <br />� <br />D. Is delivery address different from hem 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />81324 3. Service Type <br />❑ Certlfled Mail ❑ Express Mail <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />Ps Form 3811, February 2004 Domestic Return Receipt <br />k S. Postal Servi ERTIFIED M� ECEIPT <br />omestic Mail Only; No Insurance Coverage Provided) <br />delive information vi <br />Postage: <br />1 . <br />Certified - 1 <br />• Receipt <br />C <br />o F Total Postage & Fees: $6.11 <br />° (Endoi <br />° Restricted Delivery Fee <br />° <br />(Endorsement Required) <br />MTotal Postage & Fees <br />r-q sent To Andrea Holley <br />° <br />r-3 H & H Stone <br />- sireet, A <br />° °'Poe' P.O. Box 246 <br />r` city -sia <br />Dove Creek, CO 81324 °-------------- ----- <br />102595 -02 -M -1540 <br />