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<br />^ 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 cartl to you. <br />^ Attach this card to the back of the mailpiace, <br />or on the front if space permits. <br />1. Article Atldre55e0 to: <br />~Lw•sFLG~d d-F9•~;rw~ct <br />c(o R •~, Maa(v Cok02°ft ~E <br />g355 t!o((w~er ~1, <br />Co~o~rti~o SPYtr~3 i ~ O <br />$0408-700 <br />2 <br />P <br />..D <br />O <br />o COLORADO SPRINGS. CO 80908 <br /> <br /> 0.31 UNIT ID' 0179 <br />a Pnau9e s 1 <br />M1 CerI,LaC Fee - -1.90 r ~r~ <br />~?, <br /> <br />R <br />R <br />F r <br />1 •~ <br />" !! <br />Poslm~p <br />~ <br /> <br /> <br />Iv <br />o <br />eturn <br />•ceiot <br />ee <br />(EnOOrsement Regw~eG) <br /> <br />_.. <br />( <br />_ _ _ _. -I M1 ' <br /> <br />Here <br />1" <br />Cletic°J(OXO1Y's <br />O <br />p Resmcietl DtLVary Fee <br />(EnGOrsemem Requvcd) <br />_ . <br />_ ' LL <br />7 ~:!'~ <br /> <br />~ <br />Total Postage a Feq @ <br />.p 3.74 " 01/30/0 ~ I <br />fll <br />RJ Neme (Please Prlnr Clear/yJ (io be complalaE by matter) <br /> <br /> street, Apt. No.; or PO Boa No. <br />r u s t.. ilv. a <br />~o o <br />~n Gc~ $!7 C~-1(-700 <br /> <br /> <br /> <br />A. ReceNed by (Please Pnnr Cleary) B. <br />^ Agent <br />Is delivery address diflerent /mm Item 1? IJ Ves <br />II VES, enter delivery atldress below: ^ No <br />3. Service Type <br />'}a CaM1iGed Mail ~i Express Mail <br />^ Registeretl ^ Retum Receipt IDr Merchandise <br />^ Insured Mail ~' C.O.D. <br />a. ResVictetl Delivery? (Extra Fee) ^ Vas <br />102595-99-M-1]99 <br />