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VC- <br />M— 200t —di 2 <br />tJ14E Cer+-pie� McAd— Fw Re -ping. <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 />10,,e �- <br />Mr. Ralph Porco <br />Mr. Randy Porco <br />111 50 FDR 255 <br />La Jara, CO 81140�,� <br />A. Signature <br />jj�ecelved ❑ Agent <br />❑ Addressee <br />Jb ( Printed ame) C. Date of Delivery <br />D. Is delivery address different from item 4 ? 11 Ws <br />If YES, enter delivery address below: ❑ No <br />rvice Type <br />AX Certified Mail ❑ Express Mail <br />❑ 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 7 713 <br />PS Form 3811, February 2004 Domestic Return Receipt 102595 -02 -M -1540 <br />Postal <br />CERTIFIED MAILT,, RECEIPT <br />(rt (Domestic <br />Iti Provided) c <br />Postage; <br />Co Certified Fee; $0.66 <br />Return Receipt Fee; $3.10 <br />$2.55 <br />C3 Total Posta vk <br />C3 (f Postage 8, Fees; <br />C3 Restricted Delivery 6.31 <br />O <br />(Endorsement Required) <br />-- Total Postage & Fees <br />M <br />ru LTo Mr. Ralph Porco <br />Mr. Randy Porco ----------------------- <br />C3 111 50 FDR 255 ----------------------- <br />La Jara, CO 81140 <br />