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T <br />1 <br />IJ:S..Postal Service <br />CERTIFIED MAIL RECEIPT <br />(Domestic Mail.Only, No Insurance Coverage Provided) <br />Ln <br />?.? <br />. tr1 <br />... <br />?.??. <br />cc <br />c cc <br />cc 0 <br />F F <br />I C I A L <br />U S Ej <br /> <br />CD C13 Postage $ <br />-XI ...0 <br />- <br />r r Certified Fee <br /> <br />?.r ? <br />4 Return Receipt Fee <br />(Endorsement Required) Postmark <br />Here <br />? <br />?.?. <br />C3 C3 Restricted Delivery Fee <br /> <br />p . <br />r <br />C3 <br />(Endorsement Required) <br />Q C3 Total Postage s Fees <br />r <br />.?.?..?..?? (r <br />cr <br />Sent To <br /> Jesse E. & Marguerite Wilson <br /> <br />? <br />Q ............... <br />Street, Apt <br />or PO Box, P.O. Box 416 <br /> <br />-?,--. q C3 ctty, state,' Dove Creek, CO 81324 <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 />1. Article Addressed to: w <br />Jesse E. & Marguerite Wilson <br />P.O. Box 416 <br />Dove Creek, CO 81324 <br />A. Received by (Please Print Clearly) I B. Date of Delivery <br />C. Signature <br /> ? Agent <br />X ? Addressee <br />D. Is delivery address different from item 1? ? Yes <br />If YES, enter delivery address below: ? No <br />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 (Copy from service labe 7001 19 40 0 001 516 8 958 5 <br />PS Form 3811, July 1999 Domestic Return Receipt 102595-99-M-17e9 <br />Irl