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~ ~-~- <br />~'S' c <br /> <br />o. <br />-n OMG• 1313 Shetaun, Rm. 215, Oenvelr <br />CO 80203 <br /> , <br />"'~ <br />~ Postage $ ,~ 7 <br /> <br />...1] <br />fT1 <br /> <br />Certified Fee <br /> <br />,~ ,~ <br />~~ •~ _ <br />__ .._.._,.,, <br />~ ~ it , <br />G~J. ' P s~erk <br />` <br />,..~ <br />~ Return Receipt Fee <br />(Endorsement Required) ~ <br />f ~:~ ~ ~ 9~~ <br />~ <br />(~~~ ~ t ~ <br />U <br />;: <br />~ <br />0 Restricted Delivery Fee <br />(Endorsement Required) U 1 <br />: ' ® <br />t~ Q <br />2v 1 <br />~ i <br />~~ is <br />. <br />~ Total Postage & Fees .. <br />$ ,'t ' ~'~ ~ 204 ~ J <br />~~ <br />f~ ,~ <br />...D n <br />~..~ S t To ~ ~ . ;; <br />-- - - ------------ <br />C~ Str et pS~No.; O1 ox No. ,/ „ h <br />~ t ,State, P+4 <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: n ~ ~~ I ~ a~ <br />JYJr. f3;11 /J~, <br />~~b~~~~ ~~ ~d l~ Lac <br />2~, ~,~~~-~ >r , ~ P~~k ~d <br />(mot 1' 1 l Y 3 Old <br />A. Signatur <br />X ^ Agent <br />O ^ Addressee <br />B. eived by (P ' ed Name) C Dat of QefAt~ry <br />~2~o%c hs j [J / <br />D. Is delivery address different from it 1? ^ Yes <br />If YES, enter delivery,ad"dress tielo~ ^ No <br />~, <br />3. Service Type <br />^ Certified Maii ^ Express Mail <br />^ Registered ^ Retum Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ^ Yes <br />2. ~ cle Number ) ~~~ ~ , ~~ ~~~ ~ ~~ ~ ~ /~ <br />ransfer from service label (/~ D RUC <br />PS Form 3811, August 2001 Domestic Return Receipt to2sss-02•ful-isao <br />-~ <br />