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M I9%-M <br />C'LY'tl tte� M ic�d <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 />Article Addressed to: <br />A. Sign7", <br />X <br />❑ Agent <br />B. Ived by (Prin e Nam) C. Da IT of Deliv <br />6'sol 1 Ci i�� <br />D. is delivery address different mm item 1? ❑Yes <br />If YES, enter delivery address below: ❑ No <br />Mason King <br />P.O. B OX 68 3 �Certifled Mail ❑ Egress Mail <br />Cope, CO 80812 ❑ Registered ❑ Return Receipt for Merchandise <br />- - ❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 7012 3460 0000 6385 4322 <br />(transfer from service label) <br />PS Form 3811, February 2004 Domestic Return Receipt <br />an (Domestic Mall c <br />For delivery inform, <br />U-11 <br />M <br />m Postaae 1 $ <br />Q (Postage: $0.48 <br />tifi <br />ReturnCered Fee: �,� $3.30 <br />EM (EndorsemeReturn Receip F e: <br />C3 Restricted $2'70 <br />(Endorseme • 0 <br />C3 Total Postage &� '� %fir° $6.48 <br />Total Pos, <br />m <br />Sent To <br />ru <br />ra sireeZ -AjY W--------- - - - - -- Mason King -------------------- <br />O or PC Box No. <br />r- ----------------------- - - - - -- P.O- Box 68 -- - - - - -- <br />City, State, Z /P +4 " " " "- "- - - - " -" <br />Cope, CO 80812 <br />Ilia ff. rr rr- <br />102595 -02 -M -1540 <br />