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<br />~F , <br />^ Complete items 1, 2, and 3. Also complete Pnnl CleaAy/ <br />A eived by (Pleas <br />e B. Date of Delivery <br />item 4 if Restricted Delivery is desired. ( <br />~ ~ <br />„g LYE ~lr-[. 1r1 G ~ <br />i ^ Print your name and address on the reverse G Si ature <br />1 so that we can return the card to you. ~ Agent <br />j ^ Attach this card to the back of the mailpiece, <br />' I( <br />~ Mdressee <br />~ or on the front <br />rf space permits. 1? ~ Yes <br />l f <br />t <br /> rom r <br />em <br />D. Is delivery address dillelerl <br />7. Mille Mtlressed to: <br />a2C~U~omm~ssf'o~.e~-S <br />'~ac It YES, enter delive rr:~ <br />!' ' ^ No <br />~ <br />, . o <br />So l 'f"ha-i' h St 'Box dad ~ ,~ <br /> <br />d <br />~ <br />% <br />Sa <br />l <br />G`' <br />~y <br />a~r <br />z, p <br />o. <br />o <br />, <br />~ 3. Service Type <br /> ^ Cenifietl Mail <br /> ^ Registered ^ Retum Receipt for Merchandise <br /> ^ Insuretl MaH ^ C.O.D. <br /> 4. Restricted Deliver? (Extra FceJ ^ Yes <br />7001,1940 0004 6882 1944 <br />PS Form 3811, July 1999 Domestic Return Receipt 102595-0O~M-0952 <br />U.S. Postal Service <br />CERTIFIED MAIL RECEIPT <br />(Domestic Maif Only; No Insurance Coverage Provided) <br />~=v FAI(~LRY; CO 80440 <br />f1J Postage S <br />~ Cenifed Fee <br />Retum Receipt Fee <br />S IEndoreement Required) <br />O <br />0 Restdcletl pelHery Fee <br />O (Endorsement Required) <br />Q Told Postage 8 Fees ,p <br />OS-. Sent To <br />ra <br />Street, APL Np.; <br />~ or PC eP+No. <br />O ...................._-.....-.... <br />O Clry, State, IlP~ 0 <br />r <br />0.34 UNIT ID: 0609 <br />L.IO - <br />I.~ Postmark <br />Here <br />