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C-~a~3-~58 <br />-T.e,em~r~c~~on O~ <br />e9~on <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: <br />Linn and Judith Van Norman <br />PMT-303 <br />113 Latigo Ln #5 <br />Canon City CO 81 21 2-81 1 4 <br />A. Signatun: <br />~/ }~ Agent <br />X.~~'~~ ^ Addre <br />B. Received by (Printed Name) gat1et`jf Del <br />D. Is delivery address different from item 1? ^ Yes <br />If YES, enter delivery address below: ^ No <br />S L-z <br />3. Service Type <br />Certified Mail ^ F~cpress Mail <br />Registered ^ Retum Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery't (Extra Fee) ^ Yes <br />2. Article.Number /~~/'~ ,f~~,,1 + a~ u <br />(Transfer from serv/ce label) ~ ~W ~ ~f ~~ ~J I ~ ~ 1 ~~ ` I <br />. PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 <br />