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^ 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 tfte back of the mailpiece, <br />or on the front if spabr3 permits. <br />1. Article Addressed to: <br />Atchison, Emery <br />2940 Rapid Creek Road <br />Palisade, CO 81526 <br />A Signature <br />.. ^ Agenf <br />B. Removed by (Punted Name) C. Date of Delivery <br />Yljrna A-T'[.~i l5da ~-fr~O7 <br />D. Is delivery address diRereM from item t? ^ Yes <br />If YES, enter delivery adtlress below: ^ No <br />rvice Type <br />Certifietl Mall ^ Express Mail <br />^ eglstered ^ Retum Receipt for Memhantlise <br />^ Insured Mall ^ C.O.D. <br />4. Restdcted Delivery? (Extra Fee) ^ yes <br />2. Article Number <br />(transfer /mmservlce/abeQ 7003 16B0 0000 6423 3713 <br />PS Form 3811, February 2004 Domestic Return Receipt tozseS-0E-M-tsao <br />