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., <br />m ~ ~ <br />S •. , <br />.D <br />1 <br />~, ~ 3~ ~_~ ~~aPU~6~ <br />p ~ , <br />p Postage $ ~~'l~ /~`~ dp <br />p CaNSed Fee ! '~ <br />p Retum Retiept Fee <br />p JQP~e"~"`~z 2004 <br />(Endorsement Regubed) <br />~ Restricted Delivery Fee _ ,~ / <br />~ (Endorsement Raqulred) - '~~-// <br />frl Total Postage & Fees ~ US PGJ` <br />~ J <br />p Sent To <br />p <br />-~` ~c-azraacxa:;--•- .BEN FRANCISCOTI'I <br />ar PO eax Na. 2723 COUNTY ROAD 613 <br />Ciy, state, Z/Ph4 WALSENBURG, C081089 <br />~^ Complete hems 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 fhe back of the mailpiece, <br />' or on the front N space permits. <br />'!. Adicle Addressed lo: <br />BEN FRANCISCOTTI <br />2723 COUNTY ROAD 613 <br />WALSENBURG, CO 81089 <br />B. <br />C. Date of Delivery I <br />D. Is delivery address different from ftem 17 ^ Yes <br />If YES, enter delivery address below: ^ No <br />3. SeMCe Type - <br />^ Certified Mail ^ Express Mall ~ <br />^ Registered ^ Return Receipt for Memhandise ~ <br />Insured Mail ^ C.O.D. - <br />4. Restricted Delivery! (Extra Fee) ^ Yes <br />2. Article Number 702 3150 aaoa 0284 6431 <br />(Fransfer from service label <br />PS Porm 3811. August 2001 ' ' ~ - Domestic Return Receipt ~ ' ' ' ' 7o25s5-oz-M-tsno ; <br />~F c'd n <br />1-31- 0~ ~~n~ <br />