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.: <br />. . <br />' ^ Complete items 1, 2, and 3. Also complete A. Received by (Please Print Clearly) B. Date of Delivery , <br />item 4 it Restricted Delivery is tlesired. -- C ; ~ (ay Jc~~~; <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 C, Signature <br />~ ~ ^ Agent ; <br />, X <br />~ <br />or on the front if space permits. ~ Addressee <br /> D. Is delivery address different from Rem 1? ^ Yes <br />1. Article Adtlressed to: ff YES, enter delivery address below: ^ No , <br />B. P. Franklin, Sr. <br />P. 0. Box 287 <br />Meeker, CO 81641 ` <br /> 3. Servke Type <br /> ffi Certified Mall ^ Express Mail <br /> ^ Registered ~ Retum Receipt for Merchandise <br /> ^ Insured Mail ^ C.O.D. <br /> 4. Restricted Delivery? (Extra Fee) ^ Yes ' <br />2. Article Number (Copy from service label) <br />7099 3400 0017 2945 5416 <br />PS Form 3811, July 1999 Domestic Return Aecaipt rozsss-ao-tA-0952 <br /> <br />,-u <br />a <br />+r'f Pete a.:_~' <br />~ .•a <br />S Postage s ..34 ~`„ ~,. r , <br />~ Certitled Fee ~ „t, '~ <br />rit 2. 1 O TQ.' Postmzr~' <br />M1 Return Receipt Fed '.:.,~ `i. Here <br />A (Endorsement Requiretl) 1~SQrev'~ <br />~~ . <br />O Restricted Delivery Fee <br />a IEntlorsemenl Aequ'ued) , <br />~ Total Postage 8 Fees $ 3.94 <br />0 <br />S Rec7pient4 Name (Please Print Clearly) (to be completed by maile <br />d" Stmet, Apt. No.; or PO Box No. <br />Q" P. 0.- Box--287. - -------- - ---- --- ---- <br />~ City, State,-LPa9 <br />Meeker CO 81641 <br />I ' . ... - <br />