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w complete items 1, 2, and 3. Also complete <br />A sl ure <br />0 Agent <br />item 4 if Restricted Detivery.Is desirbd <br />0 Addressed <br />■ Print your name and address on the, reverse <br />so that we can return the card to you. <br />. eived ( fed N {Qat ivory <br />Bec <br />■ Attach this card to the back of the mallplece, <br />or on the front if space permits. <br />D. is delivery address d'dferent f tem 17 O Yes W 1 <br />1. Article Addressed to, <br />If YES, enter delivery addre elrnU'ty , SWC 1 <br />LU <br />City of Keenesburg <br />`* UspS <br />P.O. Box 312 <br />Keenesburg, CO 80643 <br />s. Service Type <br />.ortertifled Mail ❑ Express Mail <br />0 Registered Ci Rebrm Receipt for Merchandise <br />0 Insured Mail 0 C.O.D. <br />4. Restricted DeMrY? (Extra Fee) 0 Yes <br />2. Mcle Number 7004 <br />2890 0000 4258 6948 <br />(rransfer.from service bW <br />PS Forn'3811. August 2001 Domestic Retum Receipt 102595-2-14154( <br />a 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 we can return the card to you. <br />■ Attach this card to the back of the maiipiece, <br />or on the front If space permits. <br />1. Article Addressed to: <br />TAN11% WAki''..•c9N <br />cc.-mpf. wwt. ftm---4A4 ' <br />WQjR 1 " <br />*3Qp t*Wmrq UL"Ra g 5. <br />'L7gWOZ, CO S=4I 6-1s3D <br />A. Signanrre <br />K Gat? W" <br />peri. of 1 <br />B. Received by (Printed <br />D. Is delivery address crdfererrt a 1? O Yes <br />1f YES, enter delivery address �e <br />.ti, USP - <br />3. SerAce-We <br />ceetilIed Mall' 13 s Mall <br />Registered 0 Return Recelpt for Merchandise <br />❑ Insured Mail-, MAD.O.D. <br />4.. ResOdcted,DdW.y?. O(ft Fee) 0 Yes <br />2. ArMe waerfmbar 7004 2890 0000 4258 6955 <br />(transfer horn service la6eq <br />PS Form 3811, February 2004 Domestic Retum Recei¢t 102595 -M -M-1540 <br />g -d 8089 999 606 a2eneS 4ITP3 deT:21 s0 92 des <br />