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~m ~ J~~ - f ~ ~0 ' 1 ~ .3 ~ r~ti~ ~~ <br />q-~- os <br />~~ <br /> <br />-~~; <br />^ 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 cans to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addrossed ro: <br />~, s ~- ~/. /~~ ~, ~~ 1, <br />^ Agerrt <br />Name) +C. <br />D. Is delivery address tliHerent from irern 1 r1 O^~Yes <br />If YES, errter delivery address Debw: p N0 <br />Lisa M. Kuncsh <br />1046U Soapweed Road <br />Cnlh;m. CO 8USI1R <br />1$ Cert~ed Mail ^ Express Mali <br />O Registered ~ Return Receipt for Merd+er+tlise <br />^ Insured Mail ^ C.O.D. <br />4. Restr~tetl Deliver7/! (Extra Fee) ^ Yes <br />2. ArtiGeNUmber 70Q2 Q510 0001 17&2 2174 <br />(Transfer/tom service label) <br />PS Form 3811, February 2004 Doo+estic Rearm Receipt tozsssaz-rn-+sao <br />