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(Domestic Only, No Insurance Coverage Provided) <br />ru <br />r"- For delivery information visit our website at www.usps.com,, <br />r1J <br />C3 <br />C3 Postage $ <br />rr1 <br />Certified Fee <br />rrt Postmark <br />C3 Return Receipt Fee <br />O (Endorsement Required) Hare <br />C3 Restricted Deltvary Fee <br />C3 (Endorsement Required) <br />Q' ? <br />S Total Postage & Fees $ - r 33- <br />r-3 - <br />Sent To <br />f`- <br />0 -----• Maplewood Financial Inc. ------------------------ <br />0 Sheet, Apt No.; <br />r`- or PO Box No. PO Box 775246 <br />-----------------°--- ---------------------- <br />City, Stare, HIS; Steamboat Springs, CO 80477 <br />¦ Complete items 1, 2, and 3. Also complete <br />Rem 4 N 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 mailplece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />h*lewood Financial Inc. <br />PO Box 775246 <br />'Steamboat Springs, CO 80477 <br />A. Signature <br />O Agent <br />B. Received by (Printed Name) C. Date of Delivery <br />Ld, i1IAN 14 tiJ, L0j, l.1-&-00 > <br />D. Is delivery address different from item 11? O Yes <br />If YES, enter delivery address below: ? No <br />& Service Type <br />la't<ertified Mall 13 Foss Mau <br />O Registered t3AWum Receipt for Merchandise <br />O Insured Mall Cl O.O.D. <br />_4. Restricted Delivey1(afra Fee) 0 Yea <br />z. artraewumeer ,4 d IPOOV 1416 0003 Ab2ff?724P <br />(Tiansrer froir?s?vtce /abeYj <br />PS Form 3811, February 2004 Domestic Return Recelpt 1 -WIsao <br />611:1-