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.~ <br />ate- dMG•1313 S perm <br />m <br />Postage <br />N $ <br />~ Certifietl Fee ~ <br /> <br />f1J Retum Receipt Fee <br />~, (Endorsement Required) <br />O ResMCtetl Delivery Fee <br />O (Endorsement Require <br />o <br />Tatal Posfa9e & Fees <br />~ <br />'~ <br />' Sent To ~ -- <br />~ <br />1 <br />rL <br />i <br />t <br />Street, Apt. No.; ~---- <br />---- - ~-- Herbert F <br />~ orPo Box NO. - P O. BOX <br />Ciy §tete, LP+4 <br />v Palisade, <br />f`- <br />' rr r <br />^ Complete items 1, 2, and 3. Also complete <br />item 4 if Festdcted 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 />-Herbe~~ays <br />P.O. Box 236 <br />Palisade,CO 8]526 <br />D~D21 <br />PoslmaM <br />Here <br />/~ v ~. <br />- _~s,~~ <br />ACA\\'~\ <br />~- j <br />?~8 ' ~: _ <br />)AS 9e <br />A. Received by /Please Print Clearly) ~ B. pate of <br />Cy./Si/g/nature ~// ~, / <br />" ~ L .f' Jb' ^ Agent <br />~'~> ^ Atldressee <br />D. Is delivery address different from item 1? ^ Yes <br />If YES, enter tlelivery address below: ^ No <br />3. Service Type <br />^ Certified Mail _ ^ F~cpress Mail <br />^ Registered ^ Return Receipt for Merchandise <br />Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (Fxrra Fee) ^ yes <br />F 102595-00-M-0952 ' <br />