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^ (%omplete items 1, 2, and 3. Also complete <br />H;em 4 if Restricted Delivery is desired <br />^ F'rint your name and address on the reverse <br />so that we can return the card to you. <br />^ Attach this cans to the back of the mailpiece, <br />or on the front if space permits. <br />~ • Article Addressed to: <br />Mr. Scott Hazlitt <br />Capital Gold Corporation <br />9428 W. US Hwy 50 <br />Salida, CO 81201 <br />2. Article Number <br />(Transfer from seMce labeq <br />PS Forrn 3$11, February 2004 <br />3. Service Type <br />^ Cert~ed Mafl p EXp~ Mall <br />^ Registered ^ Retum Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted DeliveryT (~ja ~ <br />- ~ ^ Yes <br />703 1660 0000 6422 8153 <br />Domestic Return Receipt <br />•~ <br />m - <br />~n ~ <br />,~ •. <br />•,. <br />• -. <br />ti <br />ru ~ <br />.n <br />Postage $ I ~' <br />p Cerdited Fee ~J <br />~ Retum Reciept Fee ~ ~ _ <br />(Endorsement R ) <br />cp (Endo~rsementgeryuFee ~ ~ 6 ~'!fg <br />squired) _ <br />...0 <br />~ Totai Postage & Fees ~ _ <br />O ntTo ~ ~ ~'~ il~,i <br />~ Mr. Scott Hazlitt <br />orPpg~No. Capital Gold Corporation <br />c; , - <br />__~ Si'aie,'Zli~4 9428 W. US Hwy 50 •_~_~~-~--~~ <br />Salida, CO 81201 ----________ <br />102595-02-M-1540 <br />~f, P1~~ <br />5)-03~ <br />~/1-( 1 ~6 -OS~ <br />~', ~'~-~ <br />~~la~v~ <br /> <br />