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Fermit# /'-'1-ao~3 - ~~~ MV_ c~ 6D(- D 5~5 <br />Date: S -~~ `"off Recipients:~~ C~Df~ ~I aC~ <br />TO: /U~'CGZ, ~~ ~-aLt--, FROM: DRMS <br />Certified Mail Receipt - ~~ ~ ~ 7~7"~ <br />ru - ~ r . <br />o .. <br />M1 .. .. .-. <br />IT ;x •'~rY 1 r t <br />f` ~• 9u~~e0..~~~ ~~ ~~u. <br />~ Postage: $ 3 <br />"' Certified Fee: $2~, `,'~ <br />o ` Retum Receipt Fee: I. Ajs, <br />~ ReNm <br />O (Entbraema <br />o Eel Total Postage & Fees: $4:,_ , , <br />a c ndareemei _ ~~ s t <br />a - <br />m Total Postage a Fees $ <br />", nfTC Mr. Nick H. Gray <br />o Nick H. Gray <br />'`~y~P-D`~~~-`-N,~Q-"`••-------------_.. 584 65.30 Rd. <br />~~~~~+•-"""'•"----- Montrose, CO 81401 <br />:,, „ <br />^ Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />^ Print your name and adtlress 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 />A Sig~narture <br />X /~ <br />^ Agent <br />1. Article Addressed to: <br />Mr. Nick H. Gray <br />Nick H. Gray <br />584 65.30 Rd. <br />Montrose, CO 81401 <br />B. Recelvetl by (Pooled N e) I C. Date of Delivery <br />D. Is delivery address ifferent from Rem 1? ^ Yes <br />If YES, enter delivery adtlress below: ^ No <br />3. Service Type <br />^ Certifetl Mail ^ Express Mail <br />^ Registeretl ^ Return Receipt for Merchantlise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (Exha Fee) ^ Yes <br />2. ArticleNUmber 71705 3110 0000 2197 7092 <br />' (Tians/er from service labep <br />PS Form 3811, February 2004 Dortrestic Return Receipt tozsasm•Masao ' <br />