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'~~v~5~~ <br />^ Complete items 1, 2, and 3. 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 mailpiace, <br />or on the front if space permits. <br />1. Article Addressed to: <br />t <br />Mr Lucio Vasquez f <br />PO Box 2526 <br />Longmont CO 80501 <br />A Signature <br />X /~t~.~y7 O Agent <br />G "'-- 1 Addressee <br />B. Received by (Printed Name) C. Date of Delivery <br />D. Is delivery edtlress different from Rem 11 U Ye: <br />If YES, enter delivery address below: ^ No <br />I3. Service Type <br />^ Certified Mail ^ Express Mail <br />^ Registered ^ Retum Receipt for Merchandise <br />^ Insured Mall ^ C.O.D. <br />4. Restricted Delivery? (Fx6e Fee) ^ Yes <br />2. Article Number <br />(Transfer from service label) 7003 1(780 0000 6427 9025 <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 ; <br />~~r~-~~d ~~~~~~~ <br />v ~" _~~yy_lzl <br />~M <br />