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i <br /> SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION . <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> Item 4 if Restricted Delivery is desired. X ❑Agent <br /> ■ Print your name and address on the reverse 1V ❑Addressee <br /> so that we can return the card to you. ec ' ed by(Printed Name) C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front if space permits. <br /> D. Is delivery address different from Item 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address low: ❑No <br /> Ms. Dianna Stoopnikoff <br /> Ouray Silver Mines, Inc. <br /> Fortune Revenue Silver Mines, Inc. <br /> 1900 Main Street, Unit 564 3. Service Type <br /> Ouray, CO 81427 ®Certified Mail® [3 Priority I Aail Express- <br /> 0 Registered ❑Return I leceipt for Merchandise <br /> ❑ Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7 014 212 0 0001 7 8 71 17 4 5 <br /> (transfer from service labeQ <br /> PS Form 3811,July 2013 Domestic Return Receipt <br />