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M - I 9<� I - 0`765 <br />Cer�- iFiec� MU�� -CS <br />• 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 />A. <br />Agent <br />Addressee <br />B. Recei* by (Printed Name) C. Date of Delivery <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />Miss Kris Fox 11 <br />Travelers Bond & Financial Products <br />6060 S. Willow Dr. Suite 200 Service Type <br />Greenwood Village, CO 80111 id Certified Mal E3 Express Mail <br />I ❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number <br />(Transfer from service label) 7 012 3460 0 0 0 0 6384 5 3 4 4 <br />PS Form 3811, February 2004 Domestic Return Receipt 102595.02 -M -1540 <br />(Domestic Only; <br />M <br />u-I - <br />� Postage: <br />M Certified Fee: $0.46 <br />Return Receipt Fee: $3.10 <br />o Total Postage 2.55 ark <br />° ge 8t Fees: <br />° $6.11 <br />Restricted Delivery r— <br />° (Endorsement Required) <br />= Total Postage & Fees <br />M <br />� Miss Kris Fox <br />N Travelers Bond & Financial Products <br />6060 S. Willow Dr. Suite 200 - - - - -- <br />Greenwood Village, CO 80111 <br />