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a <br /> <br />a <br /> <br />~ Postage 5 <br />'~ Certltretl Fae <br />O <br />~ <br />b Remrn Receip[ Fee <br /> (Entlarsement Requde~ <br />p ResMiceetl Deliaery fee <br />l.!! <br />J ~ <br />Postmark <br />Mere <br />p IEntlorsement R¢quireOJ I r <br />O <br />r - <br />'-~ Total Postage & Fees $ ~-.-~''~ <br />~ Sea(TO - - <br />F Sveet, apt. No.; (~ ~a, (~ /, <br />or PO Box xo...!1= .~. V.....(~~5.. _~ 1.~ L~Y.__-._.. _.-_._.._._._.. <br />dry. State, LPrd <br />CO - ~'{~ CG !O <br />1 :... „~ <br />^ Complete items 1, 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 />1. Article Addressed to: <br />~czul S Ce~V~~~~c~ <br />~? ~. (?~ X i q~ yy <br />Co(c~ra~o C,~I~ Co~~~~ <br />A. <br />RECEIVE® <br />FEB 182003 <br />Division of phinerals and GaolopY <br />^ Agent <br />Date of Delivery <br />D. Is delivery atldress tlifferent from itemm 1? U Yes <br />If YES, enter ~felivery atldress below '' ~ No <br />~ :~, <br />~tf.. •_ <br />~.~. '. <br />3. Service Type - <br />J~ Certitietl Mail ^ Express.Mail ' <br />^ Registeretl - ^ Retiim Receipt for Merchandise <br />O Insured Mail ^ C.O.D. <br />A. Reshictetl Delivery? (Extra Fee) ^ Ves <br />2. Article Number 7002 1000 0004 7818 5616 <br />(fransler /rom service label) <br />PS Form 3811, August 2001 Domestic Return Receipt <br />102595-01-M~250! <br />Cl ~v~~ <br /> <br />