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^ Complete items 1, 2, and 3. Also complete <br />kem 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 />1. Article Addressed to: <br />Arthur Adler <br />15470 WCR 5 <br />Longmont, CO 80501 <br />B. Received t»' (Printed Name) <br />D. Is delivery adtlress different fmm kem 19 U Yes <br />If YES, enter delivery address below: ^ No <br />3. Service Type <br />O Certified Mail O E>4x~ Mail <br />^ Registered ~ Retum Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />a. ReaWcted Deuvey! (~ Feel o Vea <br />^ Agent <br />2. Article Number <br />(rrans/er riom seMce labeq 700_6 ~10~ 00.05 188 0354 <br />PS Form 3811, February 2004 Domestic Retum Receipt fmsesm-M-tsao ; <br />^ Complete items 1, 2, and 3. Also complete <br />item A 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 mailplece, <br />or on the front if space permits. <br />A <br />X <br />^ Agerrt <br />t. Article Addressed [o: <br />Floyd Adler <br />2707 WCR 28 <br />Longmont, CO 80501 <br />B. Vteceiv~9 by (Prfnted Nerve) C. Date of Delivery <br />ll 7 - z~ 06 <br />D. Ls delivery address diffeem from kem 1? ^ Yes <br />If YES, enter delivery address below: ^ No <br />3. ce Type <br />Ceditled Mall Mail <br />^Registered Retum Receipt for Merchandise <br />^ Insured Mall ^ C.O.D. <br />4. ResMCted Deliver)? (Extra Feet ~ Yes <br />2. Article Number <br />~„~rra„~ 7U06 X100 0005 1880 0408 <br />PS Form 3811, February 20(M Domestic Ratum Receipt tossssa2-M•tsw <br />