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MSG F'210 I � -003 <br />Cerl-i -�iec� Mai L- <br />■ Complete items 1, 2, and 3. Also complete Tftnature 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. ■ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />I:aCGc�iv..s.� <br />Gdl��s ,v 83235 <br />0 Agent <br />C. Date of Delivery <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: 0 No <br />, ,ype <br />Certified Mall 0 Express Mail <br />0 Registered 0 Return Receipt for Merchandise <br />0 Insured Mail 0 C.O.D. <br />a. Restricted Delivery? (Extra Fee) E3 Yes <br />2. Article Number <br />(transfer from service label) _ 7 011 3500 0002 9 6 0 7 7183 <br />PS Form 3811, February 004 — <br />rY Domestic Return Receipt <br />102595 -02 -M -1540 <br />M <br />CO • <br />r� <br />M1 <br />M1 <br />O <br />"11 Postage $ <br />117 --- -., <br />o Postage: '' ` <br />C3 <br />(Ei Certified Fee: X0.48 k <br />R Return Receipt Fee: <br />o (Et j r r . l� $iM <br />C3 <br />Ln 1 Total Postage & Fees: $6.48 <br />M <br />r_i LSent No.; - - -- -- - -- � - -- <br />r No. �r�, "' "' "' °^ v� . <br />1 <br />