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r • TPA <br />IFIED MAILTM RECEIPT <br />tic Mail Only; No Insurance Coverage Provided) <br />'i v1T •If1iv(a.T--1rr-l:Ts1, I, VAIla.i..w.r• <br />Pocfon. ` ¢u - <br />ostage: <br />:ertified Fee: <br />teturn Receipt Fee: <br />Totai_E.OISPaEP. Re FPPS: <br />vo.; <br />lo. <br />?IP+4 <br />Broken Arrow Investments LLC <br />Doug Derr <br />801 8th St., Ste 130 <br />Greeley, CO 80631-3903 <br />SENDER: COMPLETE THIS SECTION <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 />COMPLETE THIS SECTION ON DELIVERY <br />1. Article Addressed to: <br />Broken Arrow Investments LLC <br />Doug Derr <br />801 8th St., Ste 130 <br />Greeley, CO 80631-3903 <br />❑ Agent <br />❑ Address( <br />C. Date of Delive <br />D. delivery a. dress . ffere o item 1? 0 Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />❑ Certified MaiP 0 Priority Mail Express'" <br />❑ Registered 0 Return Receipt for Merchandi: <br />❑ Insured Mail 0 Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) 0 Yes <br />2 Article Number <br />(Transfer from service label) <br />7014 01501 0000 9138 3535 <br />PS Form 3811, July 2013 <br />Certified Mail Provides: M-2008-017 MV -2016-022 <br />NOV Letter <br />• A mailing receipt <br />■ A unique identifier for your mailpiece PSH WHE AJW <br />• A record of delivery kept by the Postal Service for two years <br />Important Reminders: <br />• Certified Mail may ONLY be combined with First -Class Mail® or Priority Mail®. <br />■ Certified Mail is not available for any class of international mail. <br />• NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For <br />valuables, please consider Insured or Registered Mail. <br />■ For an additional fee, a Return Receipt mayprovideed to <br />delivery. To obtain Return Receipt serve, plase complete annd attah a Return <br />Receipt (PS Form 3811) to the article and add applicable postage to cover the <br />fee. Endorse mailpiece "Return Receipt Requested". To receive a fee waiver for <br />a duplicate return receipt, a USPS® postmark on your Certified Mail receipt is <br />a dued <br />• For an additional fee, delivery may be restricted to the addressee or <br />addressee's authorized agent Advise the clerk or mark the mailpiece with the <br />endorsement "Restricted Delivery" <br />in If a postmark on the Certified Mail receipt is desired, please present the arti- <br />cle at the ost office for omarking. If a is not needed, det ch and affix label with p stostmarage and mailrtified Mail <br />IMPORTANT: Save this receipt and present it when making an inquiry. <br />PS For <br />■Rif47 , CO 80203 <br />yv12 o ti <br />\>s (;)1-1t <br />i0/1/4) <br />Domestic Return Receipt <br />