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- ^ Complete items 1, 2, and 3. Also complete A Sign u '"p.n <br />Item 4 if Restricted Delivery is desired. X ~ rs~•.J -agent <br />^ Print your name and address on the reverse ^ Addressee <br />so that we Can return the Card to you. B. Receive~by (Printed Named C. Date of Delivery <br />^ Attach this card to the back of the mailpiece, it O~ ~~~ <br />or on the front if space permits. 1 <br />D. Is delivery add iRerent from kem 71 ^ Yes <br />7. Article Addressetl to: If YES, ante delivery adtlress below: ^ No <br />1 ~ <br />r ~..~.~ <br />Reams, Warren F. n <br />P.O. Box 11 8 ~ " °"` <br />Grand Junction, CO 81502 3. ice Type ,,„~..yy~~yy <br />rtifled Mail ^ ~3•MliP <br />- egistered 5 Retum Receipt for Merchandise <br />^ Ins ^ C.O.D. <br />4. Restrtc[etl DeINery1(Extra Fee) ^ y~ <br />~ 2. Article Number <br />(Trensler from servme label) 7003 168^ 0000 6423 3867 <br />PS Form 381 ~, February 2004 Domestic Retum Receipt tozsas-0z-M-t sao <br />