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SENDER: . . DELIVERY <br /> ■ Complete items 1,2,and 3. ASignature <br /> =~■ Print your name and address on the reverse X Agent C ❑Addressee <br /> so that we can return the card to you. ----- <br /> ■ Attach this card to the back of the mailpiece, B. a eived by rinted Name) 11? <br /> ate o D;Iiv�ry <br /> _ or on the front if space permits. J� ? / / <br /> 1 D. Is delivery address different from item 1? ❑Yes <br /> Mr. Jeffrey S. Forrest If YES,enter delivery address below Rio <br /> Amazonite Mining,LLC <br /> 8057 S. Vermejo Peak <br /> Littleton, CO 80127 = <br /> �)IIIIIIII'I �IIIII�II�II II III IIIIIIIIIIIIII very E ouhSign tuns �1liegist e tail aM pmss^a <br /> ❑Adult Signature Restricted Deli ' U Registered Mail Restricted <br /> Certified Mail® Delivery <br /> 9590 9402 2053 6132 7812 86 11 Certified Mail Restncted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2, Article Number(transfer from service label) ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationTM <br /> ❑Insured Mail EJ Signature Confirmation <br /> 7 16 214 0 0 0_2346 14 21 U insured Mail Restricted Delroery Restricted Delivery <br /> (over$500) <br /> PS Form 3811 July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br /> PostalTM <br /> CERTIFIED oRECEIPT <br /> ra Domestic Mail • <br /> ru <br /> For delivery information,visit our website at s <br /> Certified Mall Fee <br /> m �.�10E S, <br /> I U Extra Services&FeWldiiickbo,add <br /> ❑Rehm Receipt(el-d-11c) P <br /> t3 ❑oe NW Mail Restricted Why $ J '�`�c^1 Here � <br /> ❑Adult Skpathre Requtred $ M <br /> C3 ❑Adult Southn Restricted Del"$ <br /> p Poe' <br /> •�/(� �� / <br /> Tai Mr. Jeffrey S. Forrestru <br /> $ Amazonite Mining, LLC --- - <br /> a so 8057 S. Vermejo Peak ---------------------------------- <br /> o st, Littleton CO 80127 <br /> cr <br />