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m ~ea~'~@i~l~~ <br /> <br />o ,., ~ , <br />~n <br />., <br /> <br />-~ ter /='~r~ <br />m <br />`~ <br />• <br /> Postage 5 <br />nJ <br /> <br />° <br />° tum Reciept FOe <br />/Coon bn,.,~l,w1 <br />UPti 1 ICI: Gt':i <br />Postmark <br />Mere <br />° Restrict oerrce ~ ~ / C1E, ;~:: KW~gSF <br />.-a (Entlorsem Requuedl <br />UU C / <br />O JJ <br />'~ Total Postage 8 F~== -. G.4P G`3/G5: G4 <br />m <br />° ~`°` ° MARY JO GLAXNER <br />° <br />M1 3'iieer, ApC IJO.; •' 9812 W COUNTY RD <br />7 N <br /> or PO Bar No. . <br /> ~;ry, 5iare; zP.--< DEL NORTE, CO 81132 <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 wa 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 />MARY JO GLAXNER <br />9812 W COUNTY RD. 7 N <br />DEL NORTE, CO 81132 <br />A <br />B. Received by (Sw1n`t'ed Name) ( I C~t~f Delivery <br />O St <br />0. Is delivery address different from Item.t? ^ Yas <br />If YES, enter delivery address below: ^ No <br />3. Service Typa <br />^ Certified Mall ~ Express Mall - I <br />^ Registered ^ Retum Receipt for MerChandlse i <br />^ Insuretl Mali ^ C.C.D. <br />4. Restricted Delivery? (Ext2 Feel ^ yes <br />z. Article Number 7p03 110 ooaz 1363 5068 <br />(1ransler hnm service la6e~ <br />PS Fonn '.1811, August 2001 Domestic Return Receipt _.-.,.:~~c 7a2595-02~M45I0 <br />