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rn Baas -va3 <br />f <br />.~ <br />m DMG•t314 SAmnmtr Nor 2t5, On+rer, CO BOZQ3 <br />p Postage $ <br />~ _~~ <br />fT' <br />Q' CBNlietl Fee 'ar l' 1 .. <br />V _ .POVVnark <br />T Re(urn Recxipt Fee ~ ~ ' ~ He2,~ <br />0 Respected mxiivery Fee ~ \l1 <br />p IEntlorsemeM Rapunern `• ' <br />p TaM Poetegs 8 Fesa $ / , ,1~ •"``, ~• r <br />S U <br />(T7 Recipl r§ Nama~lR' se P~rOearryi.(ra~e comp2~t6Q~ma~ler <br />...........:.......~-... .. f-r.. <br />Q' Storer. ! N~ ;Po~T"Lv ~IOtO.........-. . <br />Q' <br />p ........:................... .............-......... <br />• Complete items 7, 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 r-Cl L[%C~ <br />l/ <br />by (P(ease pdnr aeany) ~ R. <br />~i~nvtn ~~-~-~ <br />G. Signa re <br />X / /' ~^ Agent <br />9//./,1r A. vfLtll Addre <br />D. ~s tlelivery address tldlerent hom rtem 1? ^ Yes <br />If YES, enter delivery address below: ^ No <br />3. Service Type <br />~ertilied Mail ^ Express Mail <br />^ Registered ^ Return Receipt fw Merchandise <br />^ Insuretl Mail ^ C.O.D. <br />4. Restdcfetl Delivery? (Extra Fee) ^ Yes <br />2. Article Number (Copy rrpm service /aDe/) <br />7099 ,~~ao 00.3 9q~/ 1/~~ j <br />PS Form 3811, July 1999 Danestic Return Receipt 102595~OO~M-0952 <br />