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~, ~ <br /> ~ <br /> .. ,i <br />N <br />• <br />• I <br />~ ym R <br /> ! \ <br />~~ <br />' <br />7 ....- I <br />O Rye S ` <br /> <br />p <br />Certified Fee <br />~ I <br />G ~~.~(~ <br /> ~J ~ p~b~rk \~+y <br />p Realm Receipt Fee <br />(ErMoreemenl RequUetl) U1 Here <br />' <br /> <br />p <br />~ <br />Restdeted DelWery Fee <br />F <br />tl <br />m R ( t., <br />. ' <br />MAR - 8 2001 <br /> t <br />S <br />oreeme <br />equired) ~ <br />~7 - <br /> <br />flJ <br />Total Poarege 8 Fe% dd.. <br />y <br />'. <br />• <br />` <br /> <br />~ I <br />///P <br />p t <br />p John & Mar Lou Salazar <br /> _ <br />Manassa, CO 81141 <br />i ^ Complete items 1, 2, and 3. Also complete <br />~ item 4 if Restricted Delivery is desired, <br />i ^ Print your name and address on the reverse <br />so~that we can return the card 4o you. <br />^ Attach this card to the back of the mailpiecy+, ,~ <br />or on the front if space permits. ~ ;° <br />A. <br />Agent <br />1. Article Addressed to:-~ <br />John & Mary Lou Salazar <br />' P.O. $ox 510 <br />~ Manassa, CO 81141 <br />i <br />i <br />B. ~Ceived by (Panteed Name) C. 1 ~ f pD~elive <br />G N V <br />D. Is delivery address diRerent from item f 7 ~ Yes <br />If YES, enter delivery address below; ^ No <br />3. Service Type <br />Certifed Mail ,^,ee Express Mail <br />O Aegistered y_v Return Receipt for Merchandi: _ <br />4. Restricted Delivery? /Extra Fee) ^ yey <br />z. Article Number 7004 2510 0006 0486 2845 <br />(Tiansler from service lobe!/ <br />PS Form 3$11, August 2001 Domestic Return Receipt 102595-02-M4~ <br />