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��- aoo4-o42 <br /> Postal <br /> CERTIFIED MAILP RECEIPT <br /> nu Domestic Mail Only <br /> mFor delivery <br /> P �ormation,visit rv� �� r n - <br /> tll �w'1 G it :i �l,r <br /> Postage: $0.460 <br /> certified Fee: $3.3 6 3' <br /> r Postmark <br /> Return Receipt Fee: $2.7 a# <br /> _Total Postage and Fees: $6.56 ' <br /> r-1 Total Postage&Fees <br /> ru <br /> �. senrro Ralph Porco <br /> r 111 50 FDR 255 ------------------------ <br /> Otieef 8 ifpt F/o:, <br /> r- or PO Box No. La Jara, CO 81140 <br /> Cfty,SYate,ZIP+4 <br /> PS Form <br /> :00 <br /> COMPLETE,July 2014 See Reverse for Insiructions <br /> SENDER: COMPLETE THIS SECTION • ON <br /> In Complete items 1,2,and 3.Also complete A. Sign ture <br /> item 4 if Restricted Delivery is desired. X ❑Agent <br /> ■ Print your name and address on the reverse dressee <br /> so that we can return the card to you. B.deceived by(Prin Name) CrDate Delivery <br /> ■ Attach this card to the back of the mailpiece, /(J —�� <br /> or on the front if space permits. vvv��� <br /> D. Is delivery address different from item 17 ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: 1516410 <br /> Ralph Porco <br /> 111 50 FDR 255 <br /> —J-4 Jara, CO 81140 <br /> 3. Service Type <br /> Certified Mails ❑Priority Mail Express' <br /> ❑ Registered ❑Return Receipt for Merchandise <br /> ❑ Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7 014 2120 0001 7885 3629 <br /> (Transfer from servic _— — <br /> PS Form 3811,July 2013 Domestic Return Receipt <br />