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• 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. %3r�n� a 6- <br />Ctr. Y, CO. <br />2i-S z <br />2. Article Number <br />(Transfer from service label) <br />PS Form 3811, February 2004 <br />A. Signature <br />Agent <br />B. Received by ( Printed Name) <br />D. Is delivery address different from ftev1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />O'Certified Mail ❑ Express Mail <br />❑ Registered � Return Receipt for Merchand <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />91 7108 2133 3939 2944 1829 <br />Domestic Return Receipt <br />102595-02 -M -1 <br />• Complete items 1, 2, and 3. Also complete <br />A. Signat <br />( /.` <br />tiAgent <br />item 4 if Restricted Delivery is desired. <br />X <br />• Print your name and address on the reverse <br />❑Address. <br />so that we can return the card to you. <br />B. Received by (Pr—in <br />amq) <br />ate of Delive <br />• Attach this card to the back of the mailpiece, <br />i t <br />or on the front if space permits. <br />p <br />D. Is delivery address different from item 1? <br />❑ Yes <br />1. Article Addressed to: 1c <br />L../ I.�t r^� <br />If YES, enter delivery address below: <br />fi <br />❑ No <br />C-7 C �Nn6 <br />Service Type <br />i~ of .-, � <br />3. <br />5 O 1 <br />GrCertified Mail <br />❑ Eress Mail <br />❑ Registered <br />eturn Receipt for Merchandi: <br />❑ Insured Mail <br />❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number <br />(Transfer from service label) 91 ?108 2133 3939 0 0 2 9 4 413 <br />PS Form 3811, February 2004 Domestic Return Receipt 102595 -02 -M -1; <br />