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69h0 6922 2000 Q2QE�� <br />i <br />3 ■Complete items 1, 2, and 'S: Also complete A. Signature <br />J Rem 4 if Restricted Delivery is desired. 13 Agent <br />■ Print your name and address on the reverse X <br />so that we can return the card to you. 0 Addressee <br />■ Attach this card to the back of the mailpiece, 13. ecewed by (PAnted Name) C. at o(,D <br />or on the front if space permits. <br />1. Article Addressed to: <br />D. Is delivery address different from item 1? 0 Yes <br />If YES, enter delivery address below: 0 No <br />Mr. Earl E. Wellnitz <br />4700 W. O St. <br />Greeley, CO 80631 <br />2. Article Number <br />(Transfer from service label) <br />PS Form 3811, February 2004 <br />J. Service Type <br />In Certified Mall ❑ Express Mail <br />❑ Registered 0 Return Receipt for Merchandise <br />❑ Insured Mall ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) <br />Domestic Return Receipt <br />0 Yes <br />102595- 02- M•1540 <br />