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f ¦ Complete Items 1, 2, :and 3 : Also complete' <br />item 4 if Restricted DeliveryIs desired. <br />`i 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 mailpiec" <br />or on the front if space permits. <br />j 1. Article Addressed to: <br />L.G. Everest, Inc. <br />P.O. Box 5829 <br />Sioux Falls, South Dakota <br />57117-5829 <br />j <br />i <br />A. Signature <br />? Agent <br />? Addressee <br />?B/. ?Re,ce( v d b ted N me C. Date of Delivery <br />V I??[IZ ?.r S`t1?a9 <br />D. Is delivery addmal different from Rem 1? ? Yes <br />If YES, enter delivery address below: ? No <br />3. Service Type <br />IN Certified Mail ? Express Mail <br />? Registered ? Return Receipt for Merchandise <br />? Insured Mall ? C.O.D. <br />4. Restricted Delivery? (Extra Fee) ? Yes <br />2. ArtIcIeNumber <br />(transferr from from label) 7006 21,50 0002 081,3 4263 <br />(trans iseivlce <br />PS Form 3811, February 2004 Domestic Return Receipt <br />? e. a ..• .-. <br /> <br />a ,. , <br />, <br />. <br /> G0WkN 60 tf0401 C, <br />A L U <br />M <br />ro Postage $ $ 0395 <br />E3 <br />fL <br />Certified Fee ?? E p ?V <br />nI <br />T <br />' <br />? <br /> <br />O <br />Return Receipt Fee [ <br />Postmark <br />?? Here <br /> (Endorsement Required) $2.20 y9 <br /> Restricted Delivery Fee <br /> (Endorsement Required) $09007 on <br />O J <br />L <br />r9 Total Postage & Fees $6.24 05/0 /2009 <br />ru <br /> Sent To <br />Joseph <br />& pp <br />Ca 18 e 't <br />C3 __ <br />_ <br />b`freef, ApC No.; .. <br />O <br />C. or PO Box No. P.O. <br />--------• ------------------- Box 72 <br />-- ----•-----.............•-•------------•-------------- <br /> City, State, ZIP+4 <br /> Golden. CO 80402 <br />Im .. a .• , <br />i? <br />rl l on, . . . ' <br />, <br /> <br />i? <br /> <br />AO H <br />L <br />ri 0 <br />I L <br />, b <br /> <br />U <br />l <br />M S <br />A <br />L 54 <br />17 z" <br />, <br />co Postage $ yU L/ <br />O <br />Certified Fee <br /> <br />ru .,70 <br /> <br />Q <br />Return Receipt Fee stmark <br />9 <br />O (Endorsement Required) 2 ere <br />M Restricted Delivery Fee <br />®g <br /> (Endorsement Required) <br />C3 <br />? Total Posta <br />e & Fees <br /> g 2009 <br />ru <br /> Sent To vwmv v, ,, <br />..n L.G. Everest, Inc. <br />O Ufreef,ApCNEI-------------------- .....°°---------------.................-- <br />C3 <br />Iti or PO Box No. <br />------- ---------P..O.... Box..5829............ <br />.................. <br /> City, State, ZIP+4 <br /> Sioux Fall G _ Cn11t-1h Tlalrnl- a 571 1 7-SR <br />102595.02-M-1540 <br />N 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 />la Attach this card to the back of the mailpleci <br />or on the front if space permits. ; <br />1. Article Addressed to: .`s <br />f <br />i Joseph & Carol Weber ss <br />P.O. Box 72 <br />Golden, CO 80402 <br />A. SI ure <br />X II nr--- 0 Agent <br />? Addressee <br />B,ecei e by ( 'nted( Nam e) C. Date of Delivery <br />L. <br />D. Is delivery address different from Rem 1? ? Yes <br />If YES, enter delivery address below: ? No <br />3. Service Type <br />[21 Certified Mail ? Express Mail <br />? Registered ? Return Receipt for Merchandise <br />? Insured Mall ? C.O.D. <br />4. Restricted Delivery? (Extra Fee) ? Yes <br />2. Article Number ! <br />(transfer from servlce 18b.'el) i , . . <br />7006 2150 0002 0813 4164 <br />PS Form 3811, February 2004 Domestic Return Receipt <br />102595.02-M-154..