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^ Complete items 1, 2, antl 3. Also complete <br />item 4 if,Restricted Delivery is desired. <br />^ Pririt 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, <br />cr On the front if space permits. <br />1. Artice Addressed to: <br />Palisade, Town of <br />P. 0. Box 128 <br />Palisade, CO 81526 <br />2. Article Number <br />(iYansfer /rom service label) <br />PS Form 3811, February: <br />a <br />B. <br />C. <br />D. Is delivery address different from kem 1? ^ Yes <br />If YES, enter delivery address below: ^ No <br />~ertifled Mail ^ Express Mall <br />^ Registered ^ Retum Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restdctetl Delivery? (Extra Fee) ^ yes <br />7~~3 yenu u~ <br />Domestic Re[um Receipt <br />10259502-M-1540 <br />6 <br />