Laserfiche WebLink
VV) -161 CZ- <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 />A. <br />CA q <br />B. Received by (Printed Name) <br />D. Is <br />If <br />❑ Agent <br />❑ Addressee <br />Date of Delivery <br />item 1? ❑ Yes <br />alnw, ❑ No <br />I <br />o v 0als <br />Mr. Jason Burkey <br />Oldcastle SW Group, Inc. dba <br />✓G2 v <br />United Companies ofa County <br />P.O. Box 3609 <br />CO 81502 -3609 <br />3. Service Ty <br />Certified Mail® 13 Priority Mail Express'" <br />Grand Junction, <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 7 014 015 0 0000 913 8 6409 <br />(Transfer from service /abed <br />PS Form 3811, July 2013 Domestic Return Receipt <br />(Domestic Mail C <br />For delivery inform, <br />Co x_ <br />M <br />r-1 <br />Ir- 'ostage: �4 $0.90 <br />C3 ;ertified Fee: J <br />C3 (E3eturn Receipt Fee: '�� $3.30 <br />2.70 <br />0 <br />o tE�otal Postage &Fees: Q`'� <br />Ln 8021 .90 <br />r-q Total Postage & Fees I L x <br />C3 F-Sen Mr. Jason Burkey <br />a Oldcastle SW Group, Inc. dba <br />N United Companies of Mesa County <br />Q1ry state, P.O. Box 3609 <br />Grand Junction, CO 81502-3609 <br />