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!~ CERTIFIED MAILr~ RECEtF <br />~~,11 (Domestic Ma(I Only; No Insurance Covera~ <br />S C~ <br />°o Pwraga s o~NgTAPUE3(OCOs <br />° Certilled Fee \ <br />° <br />° Retum Retlept Fee Postmadc <br />(Er~dorsemeM Required) Mere <br />° Resmctedoen~eryFee AN 13 2ooa <br />~ (Fnacraement Requked) <br />ra <br />m $ <br />ToW Postage 8 Fees <br />ru LISPS <br />° eat e <br />° <br />`` si~r,Apcxst-" FRANK A. VELARDE <br />or Po Sox Na <br />C+y SiBie,LFi3 P.O• BOX 407 <br />WALSENBURG, CO 81089 <br />~ Complete items 1, 2, and 3. Also complete A 51gn ure ~ <br />Item 4 d Restricted Delivery is desired. <br />X ^ Agent I <br />^ Print your name and address on the reverse ~ Addressee <br />s0 that w0 Can fetmm the Card to yOU. B. Received by (Printed Name) C. ate o slivery ~ <br />~, ~ Attach this card to the back of the mailpiece, <br />' p <br />r ' Q ~ <br />or on the front if space permits. f <br /> ^ <br /> <br />1. ArYlde Atldressed to D. Is delhrery address different firm kem 7 es ~ <br />+ N YES, emer deih~ery address below. ^ No ~ <br />' FRANK A. VELARDE ~ <br />P.O. BOX 407 j <br /> <br />WALSENBURG> CO 81089 i <br /> s serw~erypa <br /> ^ Certlfied Mall ^ Express Mall 1 <br /> ^ Registered ^ Retum Receipt for Merchandise I <br />4. Restricted Degveryl(Extra Fee) ^ Yes ~ <br />2. ANCIeNUmber' ~ 7pp2 3150 ~~00 0284 5175 i <br />(fransferhom seMre!»~- - i ( <br />PS Form 3811, August 2001 ibmestlc Ratum Receipt tozsssoznt-tsw ~ <br />