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J~ <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 card to the back of the mailplece, <br />or on the front if space permits. <br />1. Article Atltlressetl to: <br />1 <br />olOrac~o ~w~s~o~ o~ L~a~ <br />R~~suneo~ <br />t3C~ ~1~(r~~n S~. <br />!xnu~~ ~ CO 8c>o203 <br />A Signature ' <br />~ ^ Agent <br />J <br />X ~' (' ~ ~r^-- ~ Addressee <br />B. eceived by (Pdnte a ) C. Date <br />of D ery <br />~O,t/i' / <br />S"'•G <br />D. Is deliv add2ss t irem Rem 17 s <br />N YES, enter delivery adtlress below: ^ No <br />~Certlfied Mall ^ Express Mall <br />Registered ^ Retum Receipt for Memhandise <br />^ Insured Mail ^ C.O.D. <br />4. ResMCted Delivery? (Extra Feel ^ yes <br />z. ArticieNUmber 704 2890 ~~03 8654 0361 <br />(rranster Irom sen <br />PS Form 3811, August 2001 Domestic Return Receipt tozsss~z~M-l sao <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 card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />A. Signature <br />^ Agent <br />X ~~ ~-^Aadre <br />S. eceived by (Pdnte <br />~~~ J C. Date/oi D <br />S~'C! <br />D. Is deliv address rem from ite m 17 s <br />Ii YES, emer delivery address below: ^ No <br />Coloro~o ~w~~to+~ o~ ~ <br />Re~~usleaJ~ <br />X313 ~YIPJt tYl0,tY1 S-~ . <br />~nuest ~ CO 8~3 <br />3. Service Type <br />~Certifled Mall ^ Express Mail <br />Registered ^ Retum Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. ResMCted Delivery? (Extra Fee) ^ Yes <br />z. MICIeNUmber 70174 289^ X003 8654 X361 <br />(~ranster ryom sen <br />PS Form 3811, August 2001 Domestic Retum Receipt - - tnzsssAZ nn lsaa , <br />~ _ .'~.,,. _. ._... .,..,.,,awe... _,. .:. ~ ~ .~ ~ ~.1' <br />