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~, <br />m <br />°- <br />m <br />DMG• 1313 Sherman, Rm. <br />~ Postage: $.83 <br />~ Certified Fee: $2.30,. <br />m Return Receipt Fee:- 1 <br />o IEnd Total Postage & F es~ <br />D pe! <br />O (End 1! <br /> c, <br />o <br />M1 Total Postage 8 Fees $ ~' <br />D <br />` <br />~ Sent To <br />Mr. Jack G. Quinn <br /> <br />` <br />~ g}~~(p Stone Forge ~ <br />p 520 W Henrietla Ave. <br />O City, Ste P.O. Box 155 <br />N Woodland Park, CO 80865 <br />® y( <br />~~I~~ <br />.90203 '~ <br />'~}(~~° J <br />..~ <br />\ _~ <br />~~ ~ <br />a! ~ <br />o, <br />o Y <br />• ~ f O `O <br />L~ d <br />,_.r__.....___ L/ pp sv fig, <br />L <br />^ Complete items 1, 2, and 3. Also complete a signature i <br />Rem 4 if Restricted Delivery is desired, Agent i <br />X ~ <br />^ -Print your name and address on the reverse ^ Addressee <br />sa that we can return the card to you. g. ReceNed by (Pnn Name) C. Date of Delivery <br />^ Attach this card to the back of the mailpiece, Toi.~ L ~ , ~ ~~ k~ <br />J r"-f~ <br />or on the front if space permits. <br /> D. Is delivery address different from Rem 1? ^ Yes <br />1. Article Addressed to: If YES, enter delivery address below: ^ No <br />Mr. Jack G. ~in^ i <br />Stone Forge ' <br />620 W Henrietla Ave, , <br />Box 155 <br />O <br />P. <br />. <br />Woodland Park, CO (10866 <br />- Se <br />r <br />) <br />(I <br />Ce Typo <br />3. <br />~ - ~ <br />/ <br />, <br />t <br />~ <br />rtified Mail ^ Express Mail <br /> ^ Registered ^ Retum Receipt for Merchandise <br /> ^ Insured Mail ^ C.O.D. <br /> 4. Reshictetl Delivery( (EZtre Fee) ^ yes <br />?. AdicteNumber -~~ l~~b <br />r>•~s~,~,,,a,a~ ODbI ~(nr,:(o ~$J <br />~: PS Form 3811, August 2001 Domestic Return Receipt 102585-02-M4590- <br />i <br />~•/~.- - r..~ <br />