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---- <br />.~ <br />.. <br />N _ <br />~ 'ostage, ~~i°`~~ 21~,Denver;Ct3'80'203 <br />"' ~ ertified F $ •39 ~ ~ ~~~ <br />ee: .2,40 <br />.return Receipt Fee: gl 85 3~~ ~ <br />° ~' A~t11 ~~± 9 <br />(total e <br />~ h~ McPostag ~ Fees: $q,64 <br />A (Endorsement Requlrea7 <br />m <br />Tew Postage a Rena $ <br />o Antoinette Rosella Lloyd <br />,°~ P.O. Box 578 <br />-------------•--------- <br />2435 S. 25 Road <br />---------- <br />-------- <br />Cedaredge, Colorado 81413 <br />:rr r <br />^ Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />^ Pdnt 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 />1. Article Addressed to: <br />~4ntoinette Rosella Lloyd <br />P.O. Box 578 <br />2435 S. 25 Road <br />Cedaredge, Colorado 81413 <br />~~ <br />~1~~ <br />A. Signature <br />X ^ A,gent <br />Addressee <br />B Receivetl byrPrinted Name C, Date of Delivery <br />~r~ S'a_/ltd / /a 0 ~/ 11-07 <br />D. Is delivery atldress different~tm Rem 1? ^ V~-s <br />If VES, enter delivery address below: o <br />3. Service Type <br />Certigetl Mail ^ Express Mail <br />^ eglstered ^ Retum Receipt for Men:hantlise <br />^ Insured Mail ^ C.O.D. <br />4. Restnctetl Delivery? (Extra Fee) ^ Vas <br />2. Article Number 7005 3110 0000 2197 7962 <br />(transfer from serv/ce label) <br />PS Form 3811, February 2004 Oomesdc Return Receipt 102595-02-M-156¢ <br />