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C1996-083 <br />SL -1 <br />Inspection Notification <br />jdm <br />Postal <br />CERTIFIED MAIL,,, RECEIPT <br />ru coverage Provided) <br />(Domestic Mail Only; No Insurance <br />ru <br />'Ir <br />O M <br />z Postage: ��� $ v 85 <br />O Reh Certified Fee: $ . 5 <br />n <br />`oma„ o (Endorse' Return Receipt Fees:_ j �:80 <br />Restrict( <br />r3 (Endorse (j <br />-� Total Postage & Fees: $6.735 <br />., Total PosranA N <br />Ls,Derby Mountain, LLLP <br />ru 10543 3300 Road <br />r- Hotchkiss, CO 81419 <br />COMPLETE•N COMPLETE THIS SECTIONON DELIVERY <br />■ Complete items 1, 2, and 3. Also complete A. Signature <br />item 4 if Restricted Delivery is desired.—�ftgent <br />■ Print your name and address on the reverse X ❑ Addressee <br />so that we can return the card to you. <br />■ Attach this card to the back of the mail lece, Eby (Printed Name) ate of Delivery <br />or on the front if space permits. p � � �`' <br />P12015 <br />different from item 1? ❑Yes <br />1. Article Addressed to: eliv address below: 0 No <br />k <br />Derby Mountain, L4fLP <br />10543 3300 Road �' <br />Hotchkiss, 3. Wegistd <br />0 Priority Mail Express'" <br />CO 81419 140 Return Receipt for Merchandise <br />0 Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) 0 Yes <br />2. Article Number 7012 3460 0000 6385 2472 <br />(Transfer from service labeq - - <br />PS Form 3811, July 2013 Domestic Return Receipt <br />