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M-1987-074 <br /> <br />1313 <br />° Sherma <br />n • <br />. <br />0 <br /> r <br />s Postage $ ~ <br />7 <br />A Certified Fee <br />S ~ <br />Return Receipt Fee <br />S (Endorsement gequired) ' <br />~ Restricted Delivery Fee <br />' ~ <br />`Endorsement Repaired) <br />O <br /> <br />' p Total Postage 8 Fees <br />ra <br />uT Sent io <br />ru _ _ __ MR ROBERT V MA <br />SAaet, Apt. NO.: PO BOX 175 <br />~ or Po Box No. <br />~ Ciiy Slate, ZIP+4 GYPSUM CO 81637 <br />0 <br />r <br />r r r <br />Q~1A <br />l~O~ ~A <br />~~ /_ "' <br />^ Complete items 1, 2, and 3. Also complete A. Received by (Please Print CI B! , <br />item 4 if Restricted Delivery is desired. 3j <br />^ Print your name and address on the reverse <br />so that we can return the card to you. G. Signature <br />^ Attach this card to the back of the mailpiece, X <br />or on the front if space permits. <br />D. IS tlelivery d tlifferent m' ? <br />1. Article Atldressed to: If YES, enter delivery address o~ll$F <br />MR ROBERT V MAYNE <br />PO BOX 175 <br />GYPSUM CO 81637 3. Serv a Type <br />Certified Mail ^ Express Mail <br />^ Registeretl ^ Return Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (EMm Feel ^ Yes ' <br />2. Article Numher (Copy from service labep 7 a a 1 2 510 0 o a 4 414 4 0 5 0 6 <br />PS Form 3811, July 1999 Domestic Return Receipt tg2ss5-oo-M-os52 <br />