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-~ Postage: <br />~ Certiiiear! Fee: <br />°° Return Receipt Fee: <br />s <br /> Q <br />~ (Endi 'i'ota! Postage ~ Fees: <br />~ Resf •• <br />0 <br />~ <br />Total Postage & Fees $ 6 <br /> Dennis Auge <br />o PO Box 277 <br />~ Coal Creek CO 81221-0277 <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: <br />Dennis Auge <br />PO Box 277 <br />Coal Creek CO 81221-0277 <br />a <br /> <br />$2.65 <br />$2.,15 <br />~.21 `\J'~ <br />~ )a <br />I P <br />~....-~ `x~; <br />"-- <br />^ Agent <br />Addressee <br />B. Received by (Printed Name) C. Date f Delivery <br />~~,~,~,~ ~~-~ ~tlt~~of~ <br />D. Is delivery address different from item 1~ ^ Yes <br />if YES, enter delivery address below: ^ No <br />3 rvice Type <br />Certified Mail ^ Express Mail <br />^ Registered ^ Retum Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ^ Yes <br />2. Article Number ~j Q <br />(rnansfer from serv/ce label ~ ~ ~ ~ ~' 0 ~ tL(~ ~. ~ S V <br />t PS Form 3811, February 2004 Domestic Return Receipt ~ozsss-oz•tit-tsao: <br />