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<br /> <br />a m <br /> , <br />N <br />"' WALSEHFAAlG, CO 81089 ~T ;,tFx <br /> <br />~ <br /> <br />m <br />Pes:a e 5 <br />S <br />0..14 ..., <br />YT is 1"064 c>p <br /> <br />- i O, <br />fL Cemhetl Fee 2 10 <br /> <br />~ <br />Return Rece:p; Fee <br />1 J~ ~ ~ Pcs:n n <br />r'~ Y ,~ )-e/~~ J <br />~: <br />` <br />"' <br />~~`' <br />~ (Entlorsament RaSu.:etlf . <br />. <br />, <br />~ Restric;etl OeLVery Fa- @Y'~ kFN~XC <br /> ~:-,~ - <br />~ <br />0 <br />e 6 Fe <br />Total P <br />ta <br />s ~ 3.94 °r)20iAZ- -' <br />' <br />~ <br />~ g <br />e <br />os ~ <br />`~j PS <br />en <br />f1J Sen: To <br /> Paul R. & Brenda S. Bossert <br />rl Street. Apf. NO.: <br />O or PO BUx NO.516 Ttd l[l ,S <br />t. ._. <br />.... <br />..._. <br />..... <br />~ <br />r~ .. <br />Gq: Stara, ZlP-J <br />__ ~ ...~ . <br />__..... <br />1....__ ...__ <br />___ <br />..._. <br />^ Complete items 7, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />^ Print your name and atldress 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 />7. Article Addressed to <br />Paul R. & Brenda 5. Bossert <br />516 Piain St. <br />Walsenburg, CO 81089 <br />l j ~ ^ Agent <br />X i ~ ; j. Vu// ^ Addressee <br />B. Received by (Printed Name) C. Date of Delivery <br />D~ rct15 #-lf%v YYI{5 ~ ., <br />D. Is delivery address different from~tem 7? ^ Yes,~~ <br />If VES, enter delivery address below: ^ No <br />3. Service Type <br />~ Certified Mail ^ Express Mail <br />^ Registered Cl Return Receipt (or Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (Extra Fee) O Yes <br />2. Article Number <br />(Transrer/romservicelabelJ 7001 2510 0006 2730 5261 <br />PS Form 3811, August 2001 Domestic Return geceip[ 102595.Ot~M~2509 <br />