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M j gcsq _ o4lt <br />Ce r +I .,F' ej M cA 'L - Ued cJe F VU <br />• Complete items 1, 2, and 3. Also complete Ay4 <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, Ri <br />or on the front if space permits. <br />1. Article Addressed to: I® <br />Mr. Harold E Clare, II <br />Clare Corporation <br />P0 Box 1 <br />Florissant, CO 80816 <br />r <br />Name) <br />re�lvery address'different fN <br />s, enter delivery address <br />X.l Agent <br />0 Addressee <br />C. Date of Delivery <br />item 1? 0 Yes <br />;low: 0 No <br />V. Servicp Type <" <br />Certrf�elfiMalt C*1 SIC pr4ss Mall <br />' <br />I -stared 4 ; Return Receipt for Merchandise <br />0 Insufdd -Ma#-- 0 C.O.D. <br />4. Restricted Delivery? (Extra Fee) 0 Yes <br />2. Article Number <br />(transfer from service labeo 7 012 3460 0 0 0 0 6384 <br />6 9 21 <br />I PS Form 8811, February 2004 Domestic Return Receipt <br />102595 -02 -M -1540 <br />Postal <br />RECEIPT CERTIFIED MAILT. <br />nJ <br />(Domestic Mail Only, No Insurance Coverage <br />Provided) <br />Q' <br />r ' <br />Postage: <br />$0.90 <br />..n <br />Certified Fee: <br />$3.30 <br />°° <br />Return Receipt Fee: <br />$2.70 <br />° <br />(I <br />ark <br />C3 <br />Total Postage & Fees: <br />$6.90 3 <br />(E <br />�Zl <br />-I' <br />Total Postage & Fees $ <br />m <br />rU <br />rq <br />Sent To <br />Mr. Harold E Clare, <br />II <br />° <br />r%- <br />S`ree`'Ap`. " ° -: Clare Corporation <br />or PO Box No <br />------ -- ---- <br />C ty State, ZIP +4 P 0 Box 1 <br />------------------ <br />;„ . Florissant, CO 80816 <br />102595 -02 -M -1540 <br />