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LJW Certified Mail Receipts M-1986-076 <br /> Incomplete SO PR <br /> SENDER: COMPLETE THIS SECTION COMFLETE THIS SECTION ON DE L11 ERY <br /> ■ Complete items 1,2,and 3.Also complete 7Re7—ce!ved <br /> ature <br /> item 4 if Restricted Delivery is desired. Agent <br /> ■ Print your name and address on the reverse I ressee <br /> so that we can return the card to you. by(Printed ame) i 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 defivery address diherent from item 1? ❑Yes <br /> 1. Article Addressed to: If YES,eriterT'elivery-address below: ❑No <br /> .f . <br /> Mr. Paul F. Martin <br /> DGMC <br /> 125 W. Main Street 3. Servioive`,_ <br /> 22 Certified Mail® ❑Priority Moil Express' <br /> Farmington, NM 87401 0 Registered ❑Return Receipt for Merchandise <br /> ❑ Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number <br /> (Transfer from service label) 7 014 2120 0001 7871 2384 <br /> PS Form 3811,July 2013 Domestic Return Receipt <br />