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COMPLETE •N COMPLETE THIS SECTIONON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete e0sdeWery <br /> re <br /> item 4 if Restricted Delivery is desired. ❑Agent <br /> ■ Print your name and address on the reverse XI Addressee <br /> so that we can return the card to you. d by( rioted me) C. Date of Delivery <br /> ■ Attach this card to the back of tt� <br /> or on the front if space permits.1. Article Addressed to: r q address di rent from item 1? ❑Yes <br /> r EB 1 If YES,enter delivery dd�ress below: ❑ No <br /> 140 <br /> Lonnie Lopez <br /> S & S Services 3. Service Type <br /> 20999 State Highway 12 ❑Certified Mail ❑Express Mail <br /> ❑Registered ❑ Return Receipt for Merchandise <br /> Weston, CO 81091 ❑ Insured Malt ❑C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7019 2280 0001 8255 2286 <br /> (Transfer from service label) <br /> PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 <br />