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<br />S <br /> <br />-. S Postage $ I <br />- ~ <br />' n-t Certliletl Fee a. 3 VI <br />A`~ r+ 1 . <br />P [ <br />A <br />k ' <br />~• r Return Receipt Fee <br />uired) <br />Entlorseman[Re ' 7 ~ ~ <br />~ m <br />r <br />/He~ <br />/ <br />- <br />~~ I <br />9 ~ /~ <br />i :' <br />1~ t ~ t ~' j O Restridetl delivery Fee ~ I}'J~ <br /> <br />' ~ <br />(Entloraement Require0) I <br />~ <br />O <br />l Rosta <br />e & Fees <br />T <br />t '/ //~~ qq <br />$ `t. Tom'"' <br />. ~ 0 g <br />o <br />a <br />' ' ~ ~ '' S <br />m flecipient§ Name (Please Print CleadyJ (to be completetl by mailer) <br /> ~~11fA-E1VTERPR16ESsLT,E-------- <br />-PO S <br />N <br />A <br />Q" ox <br />pt. <br />o.; or <br />Street, <br />10'h ROAD , <br />Ir 1760 - <br />- - <br />` .- ; rv -- <br />-~,iy Stare vp:a ... ---- -- - aiszs - <br />N1ACi~; co <br />~ <br />t ,,. <br />.. .. - .r. - .~ <br />.. ~ ~ ~ ~ ~ ~ -' ~ , " ~ i ^ 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 Atltlressetl to: <br />LOMA ENTERPRISES, LLC <br />1760 -10 '/: ROAD <br />+ MACK, CO 81525 . <br /> <br />A. Si~ ature y <br />^ Agent <br />X .V `.. ^ Atltlressee '~ <br />B. Received by (Printed Name) C. Date of Delivery <br />D. Is delivery atldress different from @em 1Z ^ Yes <br />If YES, enter delivery address below: ^ No <br />- 3. Service Type <br />~ertifletl Mail ^ Express Mail <br />^ Registered ^ Return Receipt for Memhantlise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (Extra Feel ^ Yes <br />