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¦ 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 />MR PETE SIEGMUND <br />OLDCASTLE SW GROUP, INC. <br />DBA UNITED COMPANIES OF MESA COUNTY <br />2273 RIVER ROAD <br />P.O. BOX 3609 <br />GRAND JUNCTION. CO 81502 <br />A. Signature 0 Agent <br />?( r ? Addressee <br />. <br />.. _ _ .., 10'1, Namel C. Date of Delivery <br />R delive , fe§s different from Rem 1? ? Yes <br />YES, enter delivery address below: ? No <br />41 <br />% <br />3. Service Type <br />0 Certffied Mail ? Express Mail <br />El Registered ? Return Receipt for Merchandise <br />? Insured Mail ? C.O.D. <br />4. Restricted Delivery? (Exha Fee) ? Yes <br />2. Article Number 7006 3450 0000 4878 2574 <br />(transfer from service IabeQ <br />PS Form 3811, February 102595-02401-1540 <br />2004 Domestic Return Receipt <br />- ? <br />/ r +- <br />P-Iq° 1-O) q <br />- 12