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^ Complete items 1, 2, and 3. Also complete <br />item 4 iif 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 i'his card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />MR PETE SIEGMUND <br />C OLDUNSTLESWGROUP INC. <br />DBq ED CO <br />2?73 RIVER ROADPANIES OF MESq COUNTY <br />P'D~BOX 3609 <br />Gf2gNp JUNCTION CO 81502 <br />A. Slrtnature <br />~_Tt.,a j~>lt ^ Agent <br />-"'=~ ~-~1- ^ Addressee <br />B• elved b (P ted Name) C. Date of Delivery <br />/^1 <br />II ~_~ <br />D. Is del ''address different from kem 1? ^ Yes <br />'a If YES, a 'ter delivery address below: ^ No <br />/~~ 1i <br />3. Service Type <br />~ Certified Mail ^ Express Mall <br />^ Registered ^ Retum Receipt for Merchandise <br />O Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (Exfia Fee <br />2. Article Nunnber ~ ^ Yes <br />(~nsferfn~mservloefabelJ 7006 3450 0000 4878 2581 <br />PS Form 3811, February 2004 Domestic Retum Receipt <br />---- - ----- - _ 102595-02-M-1540 <br />Sa _~ ~ `~- <br />~~ D~~r <br />~lz~~ap <br />D <br />