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oP <br />" jcjq-� -6-� I <br />Ccr�'�'e cl Ha'L <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 />Mr. Albert Nesselhuf Jr. <br />31160 County Road 14 <br />Manzanola, CO 81058 <br />A. Signature <br />X ❑ Agent <br />❑ Addressee <br />B. Received by ( Printed Name) C. Date of Delivery <br />D. Is delivery address different from Rem 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />® Certified Mail ❑ Express Mail <br />❑ Registered R Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) 0 Yes <br />2. Article 7011 3500 0002 9607 6919 <br />(transfer <br />PS Form 3811, February 2004 Domestic Return Receipt 102595 -02 -M -1540 <br />M <br />k1r-K I IHLU MAIL. RECEIF <br />(Domestic Mail Only; No Insurance Coverai <br />For delivery information visit our website at www <br />0- <br />Er <br />Postage: —41.19 <br />nj <br />Certified Fee: ° <br />$$:30 <br />C3 <br />Re Return Receipt Fee: ,'. <br />$2.70. <br />C3 <br />CI <br />(Endors ? ` <br />�i <br />Restri (Total Postage 8t Fees <br />(Endors <br />$7.19 <br />3 <br />1 <br />O <br />Ln <br />M <br />Total Postage & F$ <br />�t <br />r-q - <br />ra s Mr. Albert Nesselhuf Jr. ----- - - - - -- <br />� a 31160 County Road 14 <br />C Manzanola, CO 81058 <br />