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• Complete items 1, ~,d 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 iron[ if space permits. <br />1. Article Adtlressetl to <br />Mr. Kenneth Klco <br />Azurite, Inc. <br />Fremont Courrty <br />PO Box 338 <br />Cotopaxi, CO 87223 <br />2. Article Number (Copy Irom service laben <br />A. Receivetl by (Please F.` jleerly) B. Date o1 Delivery <br />^ Agent <br />^ Atltlressee <br />tlelivery ad different from Rem 1? ^ Yes <br />YES, enter delivery atldress below: ^ No <br />r <br />3. Service Type <br />^ Cert~tied Mail ^ Express Mail <br />^ Registered ^ Return Receipt for Memhandise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ^ yes <br />PS Form '3$11, July 1999 Domestic Retum Receipt <br />.-1 <br />t~ <br />o DMG•1313 Sherman, Dm, 215, Denver, CD 80203 <br />.a <br />V' Postage $ ~ <br /> <br />~ CertiLetl Fee <br />rt}' ~ ' <br />q Postmark , <br /> Return Receipt Fee ~ Here <br />q iEntlorsement Requmed~ ~ /. <br />0 <br />la Restr¢letl Delivery Fee ~ I i <br />O (Entlarsement Regmretll <br />O Tgtd Putaoe 6 fees Q <br /> <br />~ Mr. Kenneth Klco <br />be completed by mailer) <br />~' Azurite, Inc. -- ... ---.... <br />o Fremont Count <br /> y <br />-- ~ ... <br /> PO Box 338 <br /> <br />10259500-M-0952 <br />Cotopaxi, CO 81223 <br />