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1,00 v� 6 <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: �Q <br />15 <br />A. Sig t e c <br />/` Agent <br />EX Addressee <br />B/'r, ve <br />(Printed C. Date of De ivery <br />�c <br />is <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: 'RrNo <br />Ms. Mona Weaver <br />Lockton Companies r'V' <br />8110 E. Union Ave, Suite 700 3. Service Type <br />Denver, CO 80237 O�Certified Mail® ❑ Priority Mail Express- <br />1:1 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 7 918 <br />(transfer from service label) <br />PS Form 3811, July 2013 Domestic Return Receipt <br />U.S. Postal ServiceTM <br />CERTIFIED MAIL. RECEIPT <br />(Domestic Mail Only;No Insurance Coverage Provided) <br />F <br />• 1 <br />ED Total Postage & Fees: $6.69 <br />Q <br />O <br />Restricted Delivery Fee <br />E3 (Endorsement Required) <br />L <br />r-1 Total Postage & Fees F$ <br />E3 <br />' r"rr° Ms. Mona Weaver <br />o ei" _t.6 Lockton Companies <br />rti or PO Box M <br />city" sieie; z� <br />8110 E. Union Ave, Suite 70 <br />Denver, CO 80237 <br />