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CERTIFIED MAILrn, RECEIF <br />(Domestic Mail Only; No Insurance Covera~ <br />° Fe~aga $ ~o <br />° <br />° ~~ad Fee <br />° JAPb~~ 2004 <br />° Rehm Reciept Fee <br />(Erxlorsertrent Required) <br />° Restricted DeliWry Fee <br />~ (Erufarsemea Required) <br />ri <br />fn I.(S QS . <br />Total Postage a Fees <br />rIJ <br />° to <br />° _ GERTRUDE MARTINEZ <br />~ ~'~x ~` 516 CLEVELAND ST. <br />~ry s~-~"~ PUEBLO, CO 81004 <br /> <br />. . <br />^ Complete items 1, 2, and 3. Also complete a slg re I <br />ttem 4 'tf Restricted DelNery is desired. X ~ ^ Agent I <br />°~M your name and address on the reverse Addressee I <br />:' - d ~^an return the Card t0 yOtl. <br />- g. Received by (Printed Name) C. to of n <br />( _ <br />hi[ach this card to the back of the mailpiece, , /a i <br />' <br />or on the front ff space permits. t <br />' D. Is delivery address d'Merent trap ttem 17 ~ Yes ~ <br />1. Article Addressed to: <br />_- _-__ If YES, enter delivery address below: ^ No <br />' GERTRUDE MARTINEZ i <br />' 516 CLEVELAND ST. ~ <br />CO 81004 <br />PUEBLO <br />. <br />, <br /> 3. Service Type I <br /> ^ Certified Mall ^ Express Mal 1 <br />- ^ Registered ^ Return Receipt for Merchandise ~ <br /> ^ Insured Mail ^ C.O.D. ~ <br /> 4. Restrlaed Delivetyt (Extra Fee) ^ Yes 1 <br />1 2. AAde Number I <br />7002 - <br />3150 0000 X284 5199 ~ I <br />(rranareruomae>rrdetabeq. i <br />PS Form 3811'. `August 2001 ! `~ ' i ` ` ` '~ Domestic Return Receibt'~ ' ~ ~ ! ~ ~ ' i `' ' ' ~ '- ! '~ to2sssoz-M-tsao , <br />