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CERTIFIED MAILrM RECEIF <br />TDOmestlc Mail Only; No Insurance Covers; <br />a° Fo=rage s o~Ng1APUEB(ppo <br />O Certified Foe ~ / \~~00 <br />~ Po5lmerk ~ <br />O Rehm RedePt Fee Here <br />(Enderaemear RequUad, AN 13 2004 <br />~ Restricted Delivery F9e <br />~ (ErMOreemeM Roquired) <br />rT <br />m _ <br />Taal Postage & Feea <br />ru US PS <br />4 Sem o <br />r` -sT~atapcNa:;-" FRANK A. VELARDE <br />or PO BOrNa <br />G'N. Siii19, Z/P+4 P•O• BOX 407 <br />WALSENBURG, CO 81089 <br />~ Complete items t, 2, and 3. Also complete <br />ftem 4 if Restricted Delivery fs desired. <br />^ Print your name and address on the reverse <br />so that we can return the card to you. <br />.I ~ Attach this card to the back of the mailpiece, <br />or on the froM'rf space permits. <br />t. ,Wde Addressed to <br />~• FRANK A. VELARDE <br />P.O. BOX 407 <br />WA T .SFNRT TR(:_ Cn R1089 <br />~~ 2. Article Number <br />a Sign ure ~ <br />X ^ Agent ~ <br />Addressee I <br />a. Received by (Pr/nted Name) C. ate o ellvery <br />D~cut J~~~tR-vE ~~,d o s~ , <br />D. Is delivery address amerera rrom item t 0 ^ Yes <br />If YES, errter delivery adtlress below: ^ No <br /> ~. aerva~ Hype l <br /> o cergged Mall ^ E~resa Mail I <br /> ^ Registered ^ Aetum Receipt for Merchandise I <br /> ^ Insured Mail Q C.O.D. I <br /> 4. Restricted Delivary7 ()=XtIB Fee) ^ Yes I <br />7002 3150 0000 0284 5175 , ti <br />PS Form 3811, August 2001 Domestlc Realm Receipt tozassaz-M-isna ~ <br />