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^ Complete items 1, 2, ands: 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 />t. Article Addressed to: <br />Mr Glenn Southwick <br />220 W CR 84 <br />PO Box 1103 <br />Wellington CO 80549 /-.' <br />~~^7, <br />FIr <br />A. Received by (Please Pnnf Clearty) ~ B. Date of Delivery <br />C. <br /> <br />D. Is delivery adtlress tliflerent from item 17 ^ Yes <br />If YES, enter delivery address below: ^ No <br />3..S,.rervice Type <br />\Ua Certified Mad ^ Express Mail <br />rt'yh'1 Registered ^ Return Receipt for Mercnantlise <br />~-7 Insured Mail ^ C.O.D. <br />4. fiestricted Delivery? (Extra fee) ^ yes <br />2. Article Number (CoDY Imm service labeq \ <br />2 268 233 117 a <br />PS Form 3811, July 7999 Domestic Return Receipt ro2sss~ss-M~t7as <br />Z 268 2.335pflCT -ARD <br />W <br />m <br />8 <br />7 <br />ILLL <br />N <br />a <br />i~~ <br />US Postaf Service ~~8 ~ ~~tl,~ r <br />Receipt for Certified Mail <br />No Insurance Coverage Provided. ~ <br />Do not use for International Mail See reverse ~ <br />1•Rf"t~lenn Southwic <br />~`2~a~"`~Y 84 <br />Ke, rate, 8 P Code <br />Wellin ton CO 80549 <br />Postage ~' <br />~~'`. s~ <br />Certified Fee O O <br />Spedal Depvery ! ~ ~ <br />gesmaed Defiv `~ee~ J~ <br />Return Receipt 5 ~ 16 <br />Whom d Dete DeGVered <br />'- <br />R!tlan RBCept S"awi9 m Whin. <br />Date, a 1NAessee's AtlOress <br />TDtAL Postage d Fear a 5 <br />Postmark or Date <br />+~-~:+r.._'""' :sue--- <br />~~~ <br />J <br />w <br />y <br />37 <br />w <br />i <br />~~ <br />y <br />C7 <br />C7 <br />r <br />