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Cer i-i �ied Mall <br />• Complete items 1, 2, and 3. Also complete A. Si gat <br />item 4 if Restricted Delivery is desired. ., Agent <br />• Print your name and address on the reverse i ❑ Addnt <br />so that we can return the card to you. slued by (Printed N e) C. ell <br />of <br />• Attach this card to the back of the mail piece , <br />or on the front if space permits. <br />1, Article Addressed to: D. Is delivery address different from item 1? 13 - -- - -- -- — If YES, enter delivery address below: ❑ o <br />Byron J. & LaLani R. <br />1 1955 CR 37 <br />Yuma, CO 80759 <br />Weathers <br />1 <br />3. Service Type <br />X Certified Mall ❑ Express Mall <br />❑ Registered ❑ Retum Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 701,2 3460 0000 6385 4391 <br />(transfer from service labeq <br />PS Form 3811, February 2004 Domestic Return Receipt 102595.02- M•1540 <br />Postal Service TM <br />:ITIFIFn Min _.. Rtcr_mc <br />ra • r . , , <br />Er <br />M . <br />Postage: $0.48 77 <br />CO Certified Fee: $3.30 <br />M Return Receipt Fee: $2.70 <br />ReTotal Postage & Fees: $6.48 <br />C3 <br />C3 (Endors, i I <br />rf <br />0 Restricted Delivery Fee <br />(Endorsement Required) <br />`0 Total Postage & Fees <br />ru <br />Byron J. Sr, LaLani R. Weathers <br />11955 CR 37 <br />Yuma, CO 80759 <br />