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~~~ <br />~. <br />m •. • <br />~ pR~_~~1~hr~,~2 1~Den~-, ~O 80203 <br />~, <br />~, <br />Postage $ $~ 5$ <br />O <br />o cen~ -' $2.65'. <br />0 ~~ $`Z.151mark.\. <br />o Fosta9e' Fee: <br />a Certit`ed e~e~pt Fee' <br />m p~eturn ~ Feee: <br />0 <br />0 <br />tti <br />e& <br />.r.,t~~ Posta9 ~ <br />A. <br />~ : ~- f (,~ ~ ~--e <br />'~Gl, if i <br />~~. G~~z <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 mailpiec'e, <br />or on the front if space permits. <br />1. Article Addressed to: <br />Ms ~ I~ ~ se ~~~u fES _ <br />11 1~1 ~e ~v~~~ f ~~f (~ ` ~ <br />~' D .,.~ <br /> <br />y~i~~ag <br />l~ <br />C~~ <br />~.~ I ~ee~,~~- <br />^ Agent <br />e i~vyed/by ( r' ted ame) ~C. jD~a~te of De/li~v <br />~D~U1 C ,~ ~ U~ VT-~"V <br />D. Is delivery address different from item 1? ^ Yes <br />If YES, enter delivery address below: ^ No <br />,.: <br />/ ~ ~ ~ ~ ~ ~ 3. Service Type <br />A ' ~ertified Mail ^ Express Mailp <br />/~ ~ /~Ce./l Registered ^ Return Recei # for Merchandise <br />('>lo~ ^ Insured Mail ^ C.O.D. <br />a 4. Restricted Delivery? (Extra Fee) ^ Yes <br />2. Article Number 7 p 0 5 311 ~ 0 0 0 ~ 219 9 3 0 2 3 <br />('transfer from service 1. <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-7540 <br /> <br />