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¦ Complete items 1, 2, and 3. <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 mallpiece, <br />or on the front if space permits. <br />1 • Article Addressed to: <br />Mr. Scott Hazlitt Capital Gold Corporation <br />9428 W. US Hwy 50 <br />Salida, CO 81201 <br />2- Article Number <br />(Transfer from service labeg <br />PS Form 3811, February 2004 <br />70 03 1680 ?pu' 6422 8],53 <br />Domestic Return Receipt <br /> <br />m <br />i - <br />?• <br />cO <br />0 CIA L <br />- <br />Postage $ <br />0 Cerdfled Fee V <br />Return Reciept Fee <br />(Endorsement Reyulred) <br />Postmaric <br /> <br />O Restricted Dellve Fee <br />co (Endorsement R <br />q <br />d o <br />yy?? y <br />A B ? <br />e <br />uire <br />r-1 <br />Total Postage $ Fees $ <br />M <br />nr To <br />0 ?S`treee 3::: rr_____-- Mr. Scott Ha?m+ <br />A. <br />?., I C• D <br />`! - <br />Is delivery <br />addifferent?fro -? <br />If YES, enter der7 u Ye, <br />address b Na <br />13. Service Type <br />? Certified Mall 13 Express Mail <br />? Registered ? Return R <br />O Insured Mail eCBipt for Merchendi,,, <br />? C.O.D. <br />4. Restricted DBIN Yi (E,ft F. <br />- ? Yes <br />102595-02-M-1540 <br />5 i <br />Y -(q q 6 --QS-7- <br />D4 1AIV <br />l?lo/ o2) <br />