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i i <br />~ Eomplete items 1, 2, and 3. Also complete A. Received by (Please Print Clearly) e. Date of Delivery <br />item 4 if Restricted Delivery is desired. ~ ~ v <br />^ Print your name and atldress on the reverse 4 Signature ~ - <br />so that we can return the card to you. <br />^ Attach this card to the back of the mailpiece, // ~ Agent <br />or on the front if space permits. tJw ~ ^ Addressee <br />I D. As delivery address d ~ Yes - <br />- 1.~ Article Addressed to: - If YES, enter delive ad ss b w: ~ o - <br />~WESLEY .WALLACE ~ ~s'. <br />SHERRY WALLACE :' 2nry7 <br />PO BOX 1387- <br />' CORTEZ CO 81321. <br />- ~ - ~ 3.' Service Type ' <br />I ~ XXCertifietl Mail O Express Mail <br />~ ^ Registered ^ Return Receiptfor Merchandise <br />^ Insured Mail ^ C.0.0. ' <br />i, 4. Restricted Delivery? (Ext2 Fee) ^ yes <br />' 2. Article Number (Copy /rom service lobeO <br />i <br />;']~00 0520 0022 2396 1333 <br />i PS Form 3811 ,July 1999 Domestic Return Receipt 10259500-M-0952 <br />