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- jC. <br />}M <br />M- Ig13Q -l-� <br />Ctr-�'�*e <br />• Complete items 1, wand 3. Also complete <br />item 4 if Restricted 5'�livery 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 />Signature <br />B. <br />so Approve <br />by <br />❑ Agent <br />D. Is delivery address different fr ite n 1? ❑ Yes <br />If vFG Inter delivery addre I bel . ❑ No <br />Mr JasonBurkey <br />Oldcastle -SW Group, Inc dba United Companies of Mesa County <br />2273 River Road <br />Grand Junction, CO 81502 I <br />o. service Type <br />GO Certified Mail 13 Express Mail <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) 17 Yes <br />2. Article Number <br />(Transfer from service iabeg ?010 1060 0001 0 9 3 6 5 7 4 6 <br />PS Form 3811, February 2004 Domestic Return Receipt <br />102595 -02 -M -1540 <br />Postal <br />CERTIFIED IWAILTM�RECr:IPT <br />0 <br />�- <br />(Domestic Insurpnce <br />Coverage Provided) <br />Lr) <br />D <br />Postage; y <br />"e <br />M <br />Certified Fee; <br />C3 <br />Return Receipt Fee: <br />$0.48 <br />$3.30 <br />(En Total Postage <br />421-,70 <br />C3 <br />& Fees; <br />0 <br />Restricted Delivery Fee <br />(Endorsement Required) <br />C3 <br />r3 <br />Total Postage & Fees <br />k�: <br />r-i <br />Sent To <br />C3 <br />OMr <br />Jason Burkey <br />— <br />r\- j <br />Oldcastle SW Group, Inc dba United <br />2273 River Road <br />Companies of Mesa County <br />Grand Junction, CO 81502 <br />