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plate Rems 1, 2, and 3. Also complete <br />4 if Restricted DelNery Is desired, <br />m your name end address on the reverse <br />that we can return the card to you. <br />this card to the back of the mailplece, <br />on the front H space permits. <br />Addressed to: <br />LEWIS, WILLIAM L & <br />KAREN C <br />22S ROLLINGWOOD CIRCLE <br />BAYTOWN, TX 77520 <br />A gnature <br />X t A 1 d~ ^ Agent <br />V'~ ` ^ Adtlre <br />B. Received by (Printed Name) C._Dgte of Fleli <br />D. Is de0very address different fiorn ttem 1? 1J Yes <br />M YES, enter delivery address below: ^ No <br />a serwcerype b it- <br />Cl~Certlffed Mall ^ E><Press Mall ~,,. ~ E-~. <br />Registered L~Retum Receipt tar Merchandise ), ~' ~~ <br />4. Reslrkted Delhreryt (EZtre Fee) ^ Yes ~,~. <br />[~i. <br />°N~"°'"~r 7DD2 315D DDD3 894D 4286 ~~. <br />~rar:~.~:#rra~ere~ I <br />~Fortn 3811, February 2004 Domestic Retum.Recalpt_ _ _ _ <br />:omplete Rems 1, 2, end 3. Also complete <br />tam 4 K Restricted Delivery is desired. <br />'Tint your name and address on the reverse <br />ro that we can retum the card to you. <br />lttach this card to the back of the ma(Ip(ece, <br />x on the from K space permits. <br />vtlcle Addressed to; <br />A SlgnaNre <br />B. ReceNad d1' (Rioted Name) <br />tozseso2-M-tseo <br />^ Agent <br />0. As delivery atldmss dillerent irorrr Itarri 11 L Yes <br />ff YFS, emer delNery address bebw: ^ No <br />WADMAN, FREDRICK L ~ <br />052 N CLEVELAND AVENUE ~, Semnce Type <br />LOVELAND, CO 80537 ~ ~~ Mrill ~ ~r~ Man <br /> ^ Registered ^ Retum Receipt for Merchandise <br /> ^ Insured Mall ^ C.O.D. <br /> 4. RestrkYed DelweM (terra Fee) ^ Yes <br />'~0""°'r'~r 7DD2 315D DDD3 B940 4217 <br />genslar from service IabeQ <br />=orm .3811, February 2004 Domesdc Retum Receipt toz5esat-M-tsac <br />~ <br /> <br />~ <br />~'a .~ <br />~~ <br />~~ <br />~~ ~ <br /> <br />~~ <br />33 . ~ <br /> $z '~ R ~ <br /> ~$ ~~ <br />7DD2 315D DDD3 894D 4217 <br />o ~a <br />e~~ <br />3~ 3x ..' a': - i <br />a a~ sR ' <br />,°'i =a ~ <br />_ .. I <br />~ (.~ <br />. ~,~~.° <br />~~, <br />