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M 1012 -C) 3 ?- <br />fieI <br />-8 m c�-- 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 />Mr. Mike Romaniuk <br />Fortune Revenue Silver Mines, Inc. <br />1900 Main Street Unit 564 <br />Ouray, CO 81427 <br />A. Signature <br />X ❑ Agent <br />❑ Addressee <br />eceived by (Prinr-111W Name) C. Date of Delivery <br />f 17 . — /a /a /// �- <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />® Certified Mail® ❑ Priority Mail Express`" <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number X012 346 800p 6385 [7744 <br />(Transfer from service label) <br />PS Form 3811, July 2013 Domestic Return Receipt <br />F (Domestic Mail C <br />� For delivery inform. <br />Ln <br />ED <br />rn Post. - <br />-11 $0.90 <br />° Postage: 30 <br />° (En, Certified Fee: 2x70` <br />C3 Re Return Receipt Fee: <br />° (End $6,90 <br />� <br />rot. Total Postage & FeeS'\ <br />rn __ I'V <br />° Mr. Mike Romaniuk <br />C3 a Fortune Revenue Silver Mines, Inc. --- - - - - -- <br />`� 1900 Main Street Unit 564 <br />Ours , CO 81427 <br />