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•. ^ Complete items t, 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 />t. Article Atldressed to: <br />CAROLYN BULTHAUP <br />620 HWY 52 <br />ERIE, CO 80516 <br />2. Article Number <br />(17ansler Imm service IabelJ <br />A Signature <br />^ AgeM <br />B. Receivetl tly (Printed Name) ~ C. to of DeIN <br />~-y-a <br />D. Is delivery address tlifferent from item 1 T ^ Yes <br />If YES, enter delivery adtlress below: ^ No <br /> 3. rvice Type <br /> {}Certlged Mall ^ Fzpn~s Mail <br /> ^ Registered ^ Retum Receipt for Memhandlse <br /> ^ Insured Mall ^ C.O.D. <br /> 4. Restricted Delivery? (Extra Feel ~ yes <br />702 (]86~ 0003 4827 8612 <br />PS Form 3811, August 2001 Domestic Return Receipt 102595-02-M-1510 <br />