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^ Complete items 1, 2, and 3. Also complete A. atul n <br />item 4 if Restricted Delivery is desired. //~ , ^ Agent <br />^ Print your name and address on the reverse !lam ~re <br />so that we can return the card to you. g calved Dy (Pdn d Name) C. Date of Del <br />^ Attach this card to the back of the mailpiece, <br />or on the front if space permits. 2 ~ ~ ~ Q <br />D. Is tlelivery address tliffere m item 17 ^ es <br />t. Article Addressed to: If YES, enter delivery ad rasa below: ^ No <br />Haney, Joseph & Elaine ~' <br />530 Chipeta Ave. <br />Grand Junction, CO 81 501 -2936 ce Type <br />ertifled Mail ^ Express Mail <br />II^Registered ^Re[um Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />' 4. Restricted Delively4 (Extra Fee) ^ yes <br />2. Article Number <br />(rrunslerfromservice~ 7Q03 2680 000^ 6423 3782 <br />PS Form .381 ~ , February 2()04 Domestic Return Receipt 102595-02-M-1560 <br />