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U.S. Po <br />CERTI stal Serv <br />FIED ice <br />MAIL REC <br />EIPT <br />(OOmes ric Mai l Only; No In surance Cove rage Prov ided) <br />T <br />0^ <br /> <br /> <br /> <br />p troamge S ' <br />.~ <br />~ <br />Q. Certified Fee <br />fTl Return Reeelpt Fee ' <br />(6tdarsemerrt Requhed) <br />~ , <br />f7 ResRletad Oellvery Fee <br />p (EndorsemBM Requlrrxl) <br />0 7btelPaeta~geaFaea $ 3 ,C <br />ru <br />vl tp ent s 1na~ (D Pdnt t <br /> -. <br /> <br />o Apf. Na GO 9orc <br />I~ <br />D <br /> o <br />t ttie <br />_ <br />0 -~c~et <br />-Cii~U-P~~fi l f> _ <br />t Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />t Print your name and address on the reverse <br />so that we can return the card Io you. <br />t Attach this card to the back of the mailpiece <br />or on the front if space permits. <br />. Article Addressed to: I <br />"Pete Albert and Clara J. Tom <br />3100 Lime Road <br />,Pueblo, Colorado 81004 <br />22 <br /> <br />A. Received by (Please Prini Cleary) I B. Date of Delivery, r <br />1 <br />D. Is delivery address dit <br />If YES, enter delivery <br />~l c O Agent <br />from item 1? U Yes <br />rss below: ^ No <br />' 3. Service Type <br />litl certified Mail ^ Express Mail <br />- ^ Registered ^ Return Receipt for Merohantlise <br />^ Insured Mail ^ C.O D. <br />4. Restricted Delivery? (Extra Fee) ^ yes <br />~. Article Number (Copy from service label) <br />'~po0~5~-J o0>.3~ob~ g~5y <br />'S Form 3811, July 7999 Domestic Return Receipt 102595-W-M-0952 <br />