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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 [o: <br />Harriet Whiting <br />l51 Whiting Road <br />Whitewater, CO 81525 <br />A. Signature l <br />* CT7 Agent <br />X Addressee <br />B. Received by Pnnt N e) C e o Delivery <br />~~~~i~~ ~~~~Qy <br />D. Is tlelivery address dif(erent¢~i item 1?' ^ Yes <br />If VES, enter tlelivery etltlress below: ^ No <br />3. Service Type <br />^ Certified Mail ^ Express Mail <br />^ Registered ^ Return Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ^ yps <br />z. Article Number 7002 2030 0003 0720 9528 <br />{transfer /rom Service (abeQ ~,,., <br />~- i <br />PS Form $811, August 2001 Domestic Return Receipt 102 5 9 5 01-M-2509 <br />^ Complete items S, 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 />A. Sig^n/a~ltura ~ /~1 /~ - , <br />B. Received by (Printed Name),/ ~ C. Datgof DRI <br />D. Is tlelivery address different fry(n item 17 Y~: <br />7f YES, enter tlelivery address below: ^ No <br />Rodney L. Whiting <br />140 Whiting Road <br />Whitewater, C0 81527 a. s~erwce type <br /> L7 Certified Mail ^ ress Mail <br /> ^ Registered Return Receipt for Memhandise <br /> ^ Insuretl Mail ^ C.O.D. <br /> 4. Restricted Delivery? (Extra Fee) ^ Ves <br />2. ArtideNUmber 702 2030 0003 072 9481 <br />(rrans/er hom service label) <br />-- "~ pS Form 3x11, August 2001 Domestic Return Receipt 102595-01-M4509~ <br />