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Certified Mail Receipts <br /> SENDER: . . DELIVERY <br /> ■ Complete ;s a-,2,.and 3. S t ❑A ent <br /> ■ Print ypuQAe and address on the reverse 9 <br /> ❑Addressee <br /> so that we can return the card to you. <br /> ■ Attach this card to the back of the mailpiece, a ceived by(Print me) C. Date -f7Del've�j <br /> or on the front if space permits. <br /> 1 Article Addressed to: b. Is delivery dress different fr Item 1? Yes <br /> If YES enter delivery addre below' ❑No <br /> Kelly Hodge <br /> Broken Arrow Investments LLC <br /> 801 8th St.,Ste.130 <br /> Greeley_0 80631-3903 <br /> Service Type C Pnont,Mau Express(& <br /> Adult Signature ❑Registered MaiIT" <br /> Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> Certified Mail® Delivery <br /> Certified Mall Restricted Delivery ❑Return Receipt for <br /> u Collect on Delivery Merchandise <br /> ❑Collect on Delivery Restncted Delivery ❑Signature ConfirmationT <br /> 2_ Article Number(Transfer from service label) I ❑Signature Confirmation <br /> 7 014 2120 0001 7885 7450 I it Restricted Delivery Restricted Delivery <br /> PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br /> Postal <br /> CERTIFIED MAILP RECEIPT <br /> a Domestic <br /> Ln <br /> Ln Postage: <br /> co <br /> Certified Fee: $0.460 <br /> 11 Return Receipt Fee: $3•350 <br /> Ri <br /> C3 $2.750 <br /> I� <br /> orotal Postage and Fees: <br /> C3 (EndorsementRequhW) <br /> ru <br /> r-R Total Postage 6 Fees $ r3 <br /> ti i <br /> SON o Kelly Hodge <br /> 9heel&dpt NO 801 8e'St.,Ste_130 <br /> Broken Arrow Invest, ants c- <br /> or PO Box No. Greet CO 80631- 1 —,'' <br /> -------------- <br /> See Reveme for Instructio <br /> Oryy,Stale,ZIPM <br /> :.� t <br />