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MI -� <br />CC r � i f ► eC) pp ro L/e- <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 />Signature <br />B &Rem ived by Pri �am <br />D. Is delivery address different <br />If vFe enter delivery address <br />Jason Burkey <br />Oldcastle SW Group, Inc dba United Companies of Mesa County <br />2273 River Road <br />Grand Junction, CO 81502 <br />❑ Agent <br />❑ Addressee <br />Dale of Qelivery <br />'3 / I N <br />1? ❑ Yes <br />❑ No <br />3. Service Type <br />29 Certified Mail ❑ Express Mail <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2, Article Number <br />(Transfer from service label) 7 012 3460 0 0 0 0 6384 7 0 0 3 <br />PS Form 3811, February 2004 Domestic Return Receipt <br />m <br />0 <br />(Domestic <br />C3 <br />E <br />CO <br />$0.48 <br />M Postage: <br />$3.30 <br />Certified Fee: v <br />$2 70 <br />E3 Return Receipt Fee: <br />O (Enc <br />C3 Re Total postage & Fees: <br />$6.48 <br />C3 (Enc <br />=- Total Postage &Fees <br />M <br />rt1 <br />r3 <br />Jason Burkey <br />N <br />Oldcastle SW Group, Inc dba United Companies of Mesa County <br />2273 River Road <br />Grand Junction, CO 81502 <br />PS Form :0c August 2006 See <br />Reverse for Instructions <br />102595.02 -M -1540 <br />