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^ ComFdete items 1, 2, and 3. Also complete <br />item ~l 1f Restricted Delivery is desired. <br />^ Print your name and address on the reverse <br />so thsd we can return the card to you. GUS <br />^ AttacFl this card to the back of the r~ plec , ' <br />or on `the front if space permits. / <br />1. Article Addressed to: (~ ~ .- '" ='y; <br />U; _ ~-' %% <br />_. ~.~ <br />- ~~ <br />A. Signature <br />X ~ Agent <br />Addressee <br />B. Received by (Printed Name) C. Date of Delivery <br />D. Is delivery address different from Item 1.7 ^ Yes <br />If YES, enter delivery address below: ^ No <br />Gene Hollenbeck ~/~ <br />Hollenbeck, Inc. <br />P.O. Box 902 <br />Gunnison, CO 81230 ' <br />3. Service Type <br />^ Certified Mall ^ Express Mail <br />^ Registered ^. f3etum Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (Extre Fee) ^ Yes <br />ArticielJumber 7006 345 X000 488 160 <br />(Transfer from service labeQ <br />=orm ;3811, February 2004 ___ Domestic Return Receipt tozss5-0z-M-tsao <br />1 ' ~`-~ <br />5~-b Z <br />3/1~1~~$ <br />