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m <br />a" <br />co <br />D <br />L1 <br />a" <br />ru <br />D <br />D <br />m <br />ra <br />rR <br />C7 <br />Ret <br />(Endors( Total Postage & Fees: <br />Restric,_ _ <br />(Endorsement Reguirea) <br />PS Form 3811, February 2004 <br />2. Article Number <br />(Transfer from service label) <br />Postage: <br />Certified Fee: <br />Return Receipt Fee: <br />Total Postage & Fees <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 />U.S. Postal ServiceTM <br />CERTIFIED MAILTM RECEIPT <br />(Domestic Mail Only; No Insurance Coverage Provided) <br />For delivery information visit our website at www.usps.coms <br />Willis of Colorado Inc <br />2000 S Colorado Blvd Tower II Suite 900 <br />Denver, Co 80222 <br />orm 3800, August 2006 <br />See Reverse for Instructions <br />SENDER: COMPLETE THIS SECTION <br />COMPLETE THIS SECTION ON DELIVERY <br />Willis of Colorado Inc <br />2000 S Colorado Blvd Tower li Suite 900 <br />Denver, Co 80222 <br />A. Signature <br />X ( 1.�/1 ❑ Agent <br />r ❑ Addressee <br />B. Received by ('Pnrlted Name) C. Date of Delivery <br />D. Is delive r s <br />ry dress different from item 1? <br />If YES, enter delivery address below: <br />■ <br />3. Service Type <br />❑ Certified Mail <br />❑ Registered <br />❑ Insured Mail <br />4. Restricted Delivery? (Extra Fee) <br />7011 3500 0002 9607 8593 <br />H ,w1 -0d4 <br />❑ Yes <br />❑ No <br />❑ Express Mall <br />❑ Return Receipt for Merchandise <br />❑ C.O.D. <br />❑ Yes <br />Domestic Return Receipt 102595 - 02 - - 1540 <br />