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M-1980-003 <br />m <br />m <br />~ •. <br />m <br />N <br />m <br />..n <br />a <br />O CemOed Fee <br />O <br />O Rehm Redepl Fee <br />(EMOreemeM Requlredl <br />~ Resmctetl Delivery Fee <br />~ (FSdorsement Required) <br />m <br />r7 <br />Tate) Paetage 6 Fees <br />S <br />D M o - <br />O <br /> <br />1. Article Addressed to: <br />apd~ 3. Also complete O A• <br /> <br />{ ~~yy <br />D. Is delivery address different from item 1? ~ Yes <br />If YES, enter tlelivery address below: ^ No <br />MRS SARAH L MCNULTY <br />7747 CR 100 <br />CARBONDALE CO 81623 <br />3. Service Type <br />:~Certified~Mail ^ 6cpress Mail <br />d Registered ^ Retum Receipt for Merchandise <br />^ Insured Meil O C.O.D. <br />4. Restricted Delivery? (Extra Fee) ^ Ves <br />7Q04 1350 0001 1635 8433 <br />