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M 19 9 5 - (") 5-1 <br />cer4lflea mail- l-W J� epl (ALe LC )C--. <br />• Complete items 1, 2, and 3. Also complete A. Sig <br />item 4 if Restricted Delivery is desired. X <br />• Print your name and address on the reverse <br />so that we can return the card to you. A. Received by (PrinteT <br />• Attach this card to the back of the mailpiece, L <br />or on the front if space permits. ti ; b <br />1. Article Addressed to: <br />Miss -Deb Rudibaugh <br />5291 CR 76 <br />Pipin, CO 81239 <br />D. Is delivery address diflWenttfrom item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />certified Mail® ❑ Priority Mail Express- <br />13 Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />c. rvucie rvumoer <br />(Transfer from service iabeo 7 012 3460 0 0 0 0 6385 3 2 4 0 <br />P5 Form 3dl 1, July 2013 Domestic Return Receipt <br />'Octal Service T. <br />!TIFIFn MAfl — nrr ric <br />(Domestic Mail Only; No Insurance Coverage Provide <br />For delivery information visit our website at www.usps.com- <br />u <br />V-) <br />CO <br />M <br />-° Postage: $0.69 <br />C3 Certified Fee: <br />C3 (Enc Return Receipt Fee: <br />C3 Re: e <br />o (En'Total Postage & Fees: <br />,-r Total Hostage & Fees <br />fY 1 Sent To <br />ru <br />Miss Deb Rudibaugh <br />° <br />Street Apt. Nx --- <br />, --- ------ --- - - -- - <br />or PO Box No <br />r' ryx-- State, 5291 C R 76 <br />Parlin, CO 81239 <br />