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Mz012 0 3 z <br /> COMPLETESENDER: COMPLETE THIS SECTION SECTION . DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Sig <br /> item 4 if Restricted Delivery is desired. X Agent <br /> ■ Print your name and address on the reverse 11 Addressee <br /> so that we can return the card to you. BB.Received by(Printed Name) C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, T 1�1 <br /> or on the front if space permits. <br /> D. Is delivery address different from item 1? Yes <br /> 1. Article Addressed to: ES,enter delivery address below: ❑No <br /> Dianna Stoopnikoff, Fortune <br /> e Reve <br /> Clint Fletcher, Ouray Inc <br /> e Silver Mines, Inc <br /> 1goo Main Street, Unit 564 <br /> Ouray, CO 81427 <br /> 3. Service Type <br /> g Certified Mail® ❑Priority Moil Express" <br /> ❑ Registered ❑Return Receipt for Merchandise <br /> ❑Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number ?014 015 0 0000 913 8 1??0 <br /> (fiansfer from service label <br /> PS Form 3811,July 2013 Domestic Return Receipt <br />