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lJ <br />IN 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 />Melvin Brandstadt <br />19239 G Road <br />Delta, CO 81416 <br />Mcti I 1" It I rL 13 JU 1- iUL <br />A. Sign <br />X • <br />11 Agent <br />❑ Addressee <br />B. Received y (Printed Name) C. Date of Delivery <br />tic <br />D. Is delivery address different from item 1? <br />❑ Yes <br />If YES, enter delivery address below: <br />❑ No <br />s. bervice Type <br />9% Certified Mail ❑ Express Mail <br />O Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4_ Rastrinfar! <br />2. Article Number i U Yes <br />(Transfer from service labeq 70112 3460 0000 6384 6747 <br />PS Form 3811, February 2004 Domestic Return Receipt <br />102595.02 -M -7540 <br />U.S. Postal Service,. <br />CERTIFIED MAIL. RECEIPT <br />(Domestic Mall Only; No Insurance Coverage Provided) <br />For delivery information visit our webslte at www.usps.com® <br />Co <br />• • A 1 <br />Certified 0.30 <br />c' Receipt 1 Return • • • 1 <br />0 <br />,:I- Total Postage & Fees <br />M <br />r U L�3A <br />(� Melvin Brandstadt --------- L <br />19239 G Road <br />Delta, CO 81416 <br />