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wNf <br />vl�j <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 />Thomas Huerkarmp <br />H/S Properties <br />50 Heinz St, <br />Delta, CO 81416 <br />❑ Agent <br />13 Addressee <br />B. Recei d by( hted /VrI C. Dat pf lii p <br />D. Is delivery a dress different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />❑ Certified Mail <br />❑ Express Mail <br />❑ Registered <br />❑ Return Receipt for Merchandise <br />❑ Insured Mail <br />❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number ?014 0150 0000 913 6 264? <br />(Transfer from service label) <br />i PS Form 3811, February 2004 Domestic Return Receipt 102595 -02 -M -1540 <br />nJ <br />CO postage, <br />a Certified Fee: �✓a <br />Ir Return Receipt Fee- 802A1 <br />M <br />o tcno Total postage & Fees: <br />Res. _ .,. , . cv <br />r3 (Endorsement Required) <br />U1 $ I <br />r-1 Total Postage & Fees — <br />C3 <br />F$fi,.ef To Thomas Huerkan'�P <br />-2 H/S Properties <br />r� _ 50 Heinz St <br />C3 Apt No.; x oDelta, CO 81416 <br />State, ZIP +4 <br />53 0 <br />.70 <br />$6,69 <br />