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L <br />Cer <br />McA.►, �e-plcce FW <br />SECTION SENDER: COMPLETE THIS SECTION COMPLETE THIS .�. <br />• Complete items 1, 2, and 3. Also complete A. Si ture <br />item 4 if Restricted Delivery is desired. 13 Agent <br />X <br />• Print your name and address on the reverse 13 Addressee <br />so that we can return the card to you. B. Received (Printed e) C ate of D ivery <br />• Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: s address different from item 1? El Yes <br />Ac` ,r I r'E nt delivery address below: ❑ No <br />'jar b iR <br />Mr. Ralph and Randy Porco <br />111 50 FDR 255 <br />La Jara, CO 81140 3. Service Type <br />J14.Certifled 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 fabeq 7 010 1060 0001 0 9 3 6 5 7 8 4 <br />PS Form 3811, February 2004 Domestic Return Ref 6eipt ^ 102595-02-M-1 540 <br />Postal <br />CERTIFIED; <br />Co <br />(Domestic Only,- No Insurance Coverage provided). <br />L <br />Postag <br />U- <br />certified'Fee: <br />ecei $0.90 <br />r� Return R pt Fee :. _ _ $3.30 <br />C3 (EndcTotal Postage ygy $2.70 <br />M Resi. _ ge & F t <br />O <br />(Endorsement Requ,, v, � 1 $6.90 <br />1 <br />p Total Postage R Fees <br />Sent Ta —= <br />7• <br />� sr�eei,Ap— Mr. Ralph and <br />or POBoxN Randy Porco <br />- ------ -- 111 50 FDR 255 <br />City, Srsre,l --- -- - - - --- <br />La Jara, CO 81140 <br />