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qcl<� V <br />20U10 -OI `d <br />2,OIU —U5`6 <br />Cer�41�ed M ou i' I - so 5-hp Ap pro Val <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 />Article Addressed to: <br />Mr. Jason Burkey <br />Oldcastle SW Group, Inc. <br />2273 River Road <br />Grand Junction, CO 81502 <br />Signature . <br />0 Agent <br />ti <br />B. Received by ( ted Name) . <br />LT <br />L". <br />Wsexvery address different froniAem 1? ❑ Ye; <br />If YES, enter delivery address below: ❑ No <br />3. 2S,ef ice Type <br />0 Certified Mail ❑ Express Mail <br />0 Registered 0 Return Receipt for Merchandise <br />0 Insured Mail 0 C.O.D. <br />4. Restricted Delivery? (Extra Fee) 0 <br />2. Article Number Yes <br />(Transfer from service label) 7 012 3460 0 0 0 0 6384 6 3 8 9 <br />PS Form 3811, February 2004 Domestic Return Receipt <br />102595.02 -M -1540 <br />U.S. Postal Service TM <br />CERTIFIED MAILTM RECEIPT <br />(Domestic Mail Only; No Insurance Coverage Provided) <br />For delivery information visit our website at www.usps.com® <br />M Postage <br />C3 Postage: <br />0 (Enc Certified Fee: <br />ae: Return Receipt Fee: <br />C3 (End <br />� Tot Total Postage & Fees: <br />M <br />ru <br />O <br />d� sug <br />X3.3, <br />V2.70 <br />*sf <br />Mr. Jason Burkey <br />or PO Box No. Oldcastle SW Group, Inc.----' <br />nc. ___ - <br />crysiaie,ziP 2273 River Road <br />1 '�e <br />Grand Junction, CO 81502 iii.m <br />