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<br />:omplete items 1, 2, and 3: Also complete <br />em 4 if Restricted Deliv*.is desired. <br />'rint your name and address on the reverse <br />D that we can return the card to you. <br />ttach this card to the back of the mailpiece, <br />I or on the front if space permits. <br />1. Article Addressed to:. <br />David & Penny Fury <br />P.O. Box 821 <br />D C V CO 81324 <br />A. Signature <br /> <br />X <br />? Agent <br />? Addressee <br />cal d by (Pri ed ame <br />e <br />B. <br />R C. Date of Delivery <br />/ <br />'? <br />` <br />D. Is elivery add 1? ? Yes <br />If YES, enter ry addrei e ? No <br /> <br /> <br />ove ree , 3. service Type <br />? Certified Mail ? Express Mail <br />? Registered ? Return Receipt for Merchandise <br />? Insured Mail ? C.O.D. <br />4. Restricted Delivery? (Extra Fee) ? Yes <br />I <br />2. Article Number 7001 1940 0001 5168 9349 <br />(Transfer from service label) <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-154 <br />