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Ce_x t G'e6 mck-1, ( <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 />Mason King <br />P.O. Box 68 <br />Cope, CO 80812 <br />A. <br />❑ Agent <br />❑ Add, <br />13. Hecejl!Vy (P�-IW Name) Dite of 1FVe1lvqry <br />wck� S-) N _Lj C* � N ILI <br />D. Is delivery address different I'Arn item 1? 1:1 Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />U"Certifiled 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 labeo 7011 3500 0002 9607 679-7--- FF Q <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 <br />g, (Domestic Mail C <br />rti <br />C3 <br />-0 <br />Postage I $ <br />Er <br />nj postage- <br />$3.30 <br />C3 (Ei Certified Fee* $2.70 k <br />C3 <br />C3 R Return Receipt Fee- $7.61 <br />C3 (En <br />C3 Total postage & Fees: <br />Ln To <br />M <br />,_1 sent Mason King <br />r-q -- - <br />C3 S6�a P.O. Box 68 ------------------------------------- <br />r%- or PG Cope, CO 80812 . <br />sent' <br />" --------------------- -------- <br />August ZU06 See Reverse for Instructions <br />