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r r <br /> •. <br /> CERTIFIED MAIL, RECEIPT.- <br /> <br /> r=11 r9 <br /> -0 -0 <br /> <br /> °, Er <br /> CO CO Postage $ <br /> XI -0 <br /> r-q A Certified Fee <br /> <br />Return Receipt Fee <br />(Endorsement Required) Postmark <br /> <br /> <br />Hen <br /> C3 C3 <br /> p p Restricted Delivery Fee <br />• ,?.?.?...? C3 C3 (Endorsement Required) <br /> C3 O <br />Total Postage & Fees <br /> ..+.?.?...? Q- Er Sent To <br />eC rC <br /> <br /> <br />r-9 <br /> <br />r9 <br />Street Apt. No.; <br />or PO Box No. 1004-5 . __ <br /> ..?,??. C3 ` O <br />am City, State,ZlP+4? 0 9'? <br /> <br />f <br />l <br />- -re C <br />OV Q . ? <br />J <br /> <br /> <br />---- :90; January 200 <br />S For -ee <br />Reveirse for Instructions <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: <br />Jerry & Julie Martin <br />10045 Hwy 491 <br />Dove Creek, CO 81324 <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 serve ' -'ffb 1 19 4 0 0 0 01 516 8 9 5 61 <br />Ps Form 3811, my 1999 Domestic Return Receipt 102595.99-M-1789 <br />