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0 - 19 %Q - C-'V[('�' <br />Cer }i�ie,6 <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 />Mai I - i� 3 Lt4Lr <br />A. Signature <br />Agent <br />X ❑ Addressee <br />B. Received by (Printed Name) C. Date of Delivery <br />D. Is delivery address different 4-4em 1? ❑ Yes <br />If YES, enter delivery addre�s�b`elloow�, ❑ No <br />fed <br />f, <br />3. fRigistered Type <br />rt[fied Mail E3 Express Mail <br />E3 Retum Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 7012 3460 0000 6384 5030 <br />(Transfer from service Weq _ — — -- - - -- <br />PS Form 3811, February 2004 Domestic Return Receipt 102595.02 -M -1540 <br />Postal <br />CERTIFIED I&AILTIVIAECEIPT <br />O <br />(Domestic Mail Only; <br />M <br />C3 <br />Ln <br />Co <br />Postage: <br />$0.46 <br />M <br />Certified Fee: <br />$3.10 <br />Return Receipt Fee:;. <br />$2.55 <br />C3 <br />C3 <br />C3 <br />F <br />(Endo Total Postage & Fees: <br />$6.11 <br />C3 <br />Rest <br />r. <br />C3 <br />(Endorsement Required) <br />.� <br />_.r <br />Total Postage &Fees <br />M <br />rU <br />t-i <br />-° Paul F y[artm o.; <br />L <br />o. 17 W %lain Street <br />- - -- <br />IP +, Farmington, NXI S--U)l <br />i = j <br />PS Form :0r August 2006 See Reverse for Instructions <br />