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M IgGca-- ()sc) <br />Cej---�,'fl�e,8 Mc�-i'L- C6 /kce-p� LOC RP-1e-a-"C-'--- <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 />Miss Andrea Holley <br />H & H Stone <br />P O Box 246 <br />Dove Creek, CO 81324 <br />A. SigPature <br />❑ Agent <br />deceived by (P ' t d Name) " I C. Date of Delivery <br />�cJl <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, ente very a ss below: ❑ No <br />Lis <br />3. Service Type <br />❑ Certified Mail M <br />Mail <br />❑ Registered E <br />E3 Receipt for Merchandise <br />❑ Insured Mail ❑ <br />❑ C.O.D. <br />estncted Delivery? (Extra Fee) E3 Yes <br />z. Article Number _ 7_0 12_ 3 4 6_0 0 0 0 0 6 3 8 4 7 0 41, <br />(transfer from service label) <br />PS Form 3811, February 2004 Domestic Return Receipt <br />102595 -02 -M -7540 <br />Postal <br />CERTIFIED MAIL RECEIPT <br />(Domestic Mail Only; No Insurance Coverage Provided) <br />O <br />Co Postage: <br />..n Certified Fee: $0.69 <br />C3 Return Receipt Fee: $3.30 <br />C3 Re $2.70 <br />C3 (Endor: <br />C3 Total P g ees: <br />Restri Postage & F <br />0 (Endors $6.69 <br />..n <br />-" Total Postage & Fees $ <br />M <br />Sent To <br />rU <br />_ Miss Andrea Holley <br />o�POBa`No ` H & H Stone --- _ - -__ -_ <br />City, State, ZrP +a P O Box 246 --------------- <br />:rr . Dove Creek, CO 81324 <br />