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/p� Nl Iq�l -O�l I <br />MOA <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 />31738 County Road 13 <br />Manzanola, CO 81058 <br />A. Signature ','' <br />Agent <br />B. Received by'(PHnted Narne)y,-X. Date of Delivery <br />3 7V -/� <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />I9 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. n 7011 3500 0002 9607 6117 <br />PS Form 3811, February 2004 Domestic Return Receipt 102595.02 -M -1540 <br />(Domestic Mail C <br />For delivery inform, <br />9 <br />rr Postage: $1.40 <br />ru certl Certified Fee: <br />$3.30 <br />Return Re( Return Receipt Fee: <br />Q $2.70 <br />(Endorsement F <br />` <br />Restricted Deli <br />p (Endorsement F Total Postage & Fees: <br />$740 <br />C3 <br />Ln Total Postage & Fees <br />M <br />a Sent To <br />o s Mr. Albert Nesselhuf Jr- --------------------------------- <br />31738 County Road 13 <br />ci Manzanola, CO 81058 <br />PS Form 3800, August 2006 See Reverse for Instructions <br />