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.o <br /> ,, , <br />6 Prow <br />L Ln <br />A <br /> <br />1 17! Er <br />?..,_ Postage $ <br /> <br />- r-4 ' <br />ul " r9 <br />Ln Certified Fee <br />Postmark <br /> Return Receipt Fee <br />(Endorsement Required) Here <br />C3 <br />C3 C3 <br />C3 <br />Restricted Delivery Fee <br />r : C3 (Endorsement Required) <br />.r <br />O <br />C3 <br />Total Postage & Fees <br />Er a <br /> ° David & Penny Fury <br /> a <br /> Box 821 <br />? P <br />O <br />a <br />r- -?+--?? ° r_1 <br />° <br />o <br />. <br />. <br />Dove Creek, CO 81324 ------------------- <br />0 t <br />r r.- <br />t <br /> t <br />SENDER: MIS SE <br />• CrION <br /> <br />cOmPLETE THIS .DELIVERY <br />¦ Complete items 1, 2, and 3 <br />item 4 if Restricted Delivery . Also complete <br />is desired. <br />A. Received by (please print Clearty) B. Date of Delivery <br />¦ Print your name and address on the reverse <br />so that we can return the card to you. C. Signature <br />¦ Attach this card to the back of the mailpiece, X ? Agent <br />or on the front if space permits. ? Addressee <br />1. Article Addressed to: 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 <br /> <br />CO 81324 <br />Dove Creek <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 f. 7 0 01 194 0 0001 . 5168 9554 <br /> <br />PS Form 3811, July 1999 Domestic Return Receipt 102595-99-M-1789 <br /> <br />