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~~, <br /> <br />s <br />~- _ o\ <br />s . <br /> <br />S ~, <br />~~ ~ <br />N Certified Fee nn <br />a, 3 V'. ;'~4 1 <br />Pyktm~rk <br />rv Return Receipt Fee ' 7 ~ ' \ , Here <br />~ (Endorsement Required) <br />~~ <br />~ Restricted Delivery Fee ~ -~~~-' <br />O (Endorsement Required) - <br />~ Tatal Postage 8 Faes $ ~' ~~ <br />S <br />m Recipient's Name (Please Pnnt Clearly) (ro be completed by mailer) <br /> <br />- --- -- .... <br />A <br />t N <br />Po B <br />S ~,ON1A ENTERPRISES LLC-------- <br />Q <br />n- p <br />o.; or <br />treet, ox <br />1760 -10 'h ROAD <br />o <br />r <br /> <br />i ----------- ~------------ <br /> <br />aty, state, ziP«a <br />:.. -------------------------. <br /> <br />MACK, CO 81525 <br />.,. <br /> <br />^ Complete items 1, 2, and 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 front if space permits. <br />1. Article Addressed to: <br />LOMA ENTERPRISES, LLC <br />1760 -10'h ROAD <br />MACK, CO 51525 <br />A Si nature <br />X .. , I ^ Agent <br />.VL ^ Atltlressea <br />B. Received by (Printed Name) C. Date of Delivery <br />D. Is delivery address tliflerent from item 17 ^ Yes <br />If YES, enter delivery address below: ^ No <br />' 3. Service Type <br />~ertified Mail ^ Express Mail <br />^ Registeretl ^ Return Receip[for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restdctetl Delivery? (Extra Fee) ^ Yes <br />2. Article Number 7~~/7 ~r/N~ DO/~ s~G~~ /// i,py <br />(Tuns/er /rom service laheq 77 c/FV O~ / Tl~ SL(~ , <br />PS Form 3811, August 2001 Domestic Return Receipt 702595-of-M-2509 <br />