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iaK <br />VV) I � 4�11 <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 />Williaiff G-. J-ohannsen <br />Belvedere Stone, LLC <br />C/o Ma. Ginny Kenley <br />2635 Steel Dr <br />Colorado Springs, CO 80907 <br />2. Article Number 7 014 <br />(Transfer from service label) <br />A. Signature <br />X VVnn <br />El Agent <br />tE7 Addressee <br />B. Received by (Printed Name) <br />1 r�eanf Villa cti <br />C. Date o Deliv ry <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 />El Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />0150 0000 9138 3613 <br />PS Form 3811, July 2013 Domestic Return Receipt <br />Postal <br />CERTIFIED MAIL,,, RECEIPT <br />M <br />(Domestic <br />m��� <br />`o <br />M <br />a- <br />�, t..: -:,... , $0.69 <br />Postage: F�$3.30 <br />Certified Fee: <br />5,230 <br />Return Receipt Fee:; <br />M(Ena; <br />fieStl Total postage &Fees: <br />0 <br />(Endo) Sn21 <br />f <br />/ <br />Ill <br />r-q <br />Total Postage & Fees <br />D <br />William G. Johannsen <br />Stone, LLC <br />"-" ................"""- <br />i� <br />Belvedere <br />FTo Clo Ms. Ginny Kenley <br />2635 steel Dr <br />°---- ° "' " " "' " " °'.... <br />Colorado Springs, CO 80907 <br />Mil 1 1 <br />