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~ .....:. <br />;Y: . , <br />. •. ' •'. <br />...... ~ ~; ~ r r° o ~: a . to ~. t~.,..~.. <br />' ~ ~ ~ P <br />t a ~ 7 <br />Oe <br />eaa .. <br /> <br /> <br />~.. <br />: ",~::~., .::.5,:~;..:~..;,;;.... •,.:.,::~.:.~ •, ..m;~, ~ DertaledFee <br />.. .. ...'~:.i., ... ... ...., ~ i <br />.,,;.. .s <br />• .3a <br />.,,,: . <br />,,~` t>:.t:' '.:. ~:~,.. :,~..:. <br /> <br />~" <br />1 <br />.. Retain Receipt Fee <br />' fl.l (9tO4aemas RequRarp ~,,'J V <br />;'.~`, <br />Hsm ~r <br />\~' ~ <br />~ i <br />~ <br />. ° aeealoted DaNely Pee . <br />~ ~;~ <br />Q <br />. <br />G (Pndaeemmn RegNted) .IJ <br />~ r ' <br /> <br /> <br />mw POeteeO a Pone <br /> <br />$ <br /> <br />o'L~ <br />~ y . <br />. ~. <br />~ ° <br />\ ~ <br />• ° em rtn e y any ~ <br />.~_. , <br />. -....S1I~-1.4.Road._.._..____..._ <br />.-. <br />' <br /> <br />~'~~"''' :;,t'y. . a.~. :, Ci:!C,w., . ti <br />.. .. .. <br />... , `• <br />. <br />. <br />.. .. <br />siiesQ~ iSio,v <br />of PO BOX N4 Flwfa, C.0 81521 ) }'': i'..:.:;n:..:.,., :•' <br />:, ila« i '....'"...'.~" <br />s <br />'. a <br />. <br />• G e <br />r <br />m4 <br />. <br />. <br />.. , e <br />f <br /> <br />I <br />'. ... <br />e <br />e e <br />^ Complete Itema 1, 2, and 3. Also complete •lgn ~ <br />f ^ Aaent ~ <br />` <br />i Item 4 M ResMcted Delivery Is desired, ., <br />" . ~ Pdnt your name end eddresa on the reveree / / ^ Aaareeeee ':• <br />' ~ so that wa can retain the card to you. I ~ ~ c. oats or nelivery 4 <br />\ <br />• ~ ^ Attach thla card to the back of the mallplece, ^1 ~ ,, <br />or on the front II apace petmlta. :s <br />l7 <br />D• ~ <br />s ` <br />~ <br />l <br />I 7. Aruole Adtlreesed to low; <br />IveN add~eee 6e <br />^ N <br />YEa, amar del <br />a <br /> ;. <br />. '': ... `:' • ~ Arvin Jaffiy Leahy <br />' ~ 816 -19 Road <br />F <br />C <br />81 <br />I <br />rusta, <br />521 <br />O <br />, 3. 6erNce Type ~ <br />.. ~ <br />' I tllfled Mall ^ ExpfBeB M011 <br />;'~ q Reglatered ^ Retum Receipt fcr Merchendlae <br />. ~ ' ~ ~ ^ Insured MaN O C.O.D. ,t . <br />' ~ ~ • ~ ~ ~ ~ ~ ~' 4. Reahicted DaINery7 (EXtm Feel ^ Yea <br />' 4. Adicla Number ' 7t~~ ~ ~ ~ ~ o ~o ~ G ~ gs aay ~ ~' <br />>..:r,~.,::~'::.:::/,;:'';'•;+;•.~i''::;:::~ (7fena/er from aeMce lebe0 <br />... ....... ... <br />~: ~ PS Form 3811, Auguat 2001 Domesao Retain Receipt toases.ot.M.zsae' <br />~I <br />