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<br /> Postal. <br />:'CERTIFIED, M <br />AIL?RECEIOT <br /> . <br />. <br />. . <br />' L ? F F L U <br /> <br />........... n, . Ir <br />,^..,...?..? to -0 Postage $ <br /> <br />- ? ' r9 Certified' Fee <br />tuft u'1 Postmark <br /> Return Receipt Fee Here <br />r'-1 C3 (Endorsement Required) <br />C3 C3 <br />` C3 . a Restricted Delivery Fee <br />C 3 1 r (Endorsement Required) <br /> Total Postage & Fees <br />C3 <br /> <br /> r David & Penny Fury <br /> <br /> L Box 821 <br />O <br />P <br />r A r_q . <br />. <br /> o CO 81324 <br />Creek <br />D •----------------- <br />c3 , <br />ove <br />; <br />N N <br /> <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 />A. Received by (Please Print Clearly) B. Date of Delivery <br />C. Signature <br />X ? Agent <br />? Addressee <br />1. Article Addressed to: I D. Is delivery address different from item 1? ? Yes <br />If YES, enter delivery address below: ? No <br />David & Penny Fury ? <br />P.O. Box 821 11 <br /> <br />Dove Creek, CO 81324 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 />2. Article Number(Copyf 7001 1940 0001 5168 9554 <br />PS Form 3811, July 1999 Domestic Return Receipt 102595-99-M-1789 <br />Y