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■ 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 />. r4- I`tS'6- ooH <br />'5- 5 0 -/Z/ <br />A. Signature <br />+ <br />❑ Agent <br />X u <br />❑ Addressee <br />B. Received y (P r' ted Na e) . C. Date of Delivery <br />^1 <br />Erie <br />41Q /l! 1 1 1 . <br />D. Is delivery address different from ite <br />❑ Yes S, <br />If YES, enter delivery address be l <br />o d,.f` <br />cc <br />3. Service Type <br />b' i i <br />III Certified Mail ❑ Express Mail <br />❑ Registered ❑ Retum Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) <br />❑ Yes <br />2. Article Number 7012 3460 0000 6384 8451 <br />(transfer from service label _. <br />PS Form 3811, February 2004 Domestic Return Receipt 102595 -02 -M -1540 <br />Z <br />rS i m <br />