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~'2~n i no~~~ C9~b <br />~I~R,CSC~ C-~ ~~ ~'1 <br />SL 2 <br />~fl <br />^ Complete items 1, 2, and 3. Also. complete A. Signature <br />Agent <br />item 4 if Restricted Delivery is desired. ,~ ^ Addressee <br />^ Print your name and address on the reverse __ <br />so that we can return the card to you. B. Received by (Prints t of D liy~; <br />^ Attach this card to the back of the maiipiece,'„YUUTAV~ <br />or on the front if space permits. Yes <br />D. Is delivery addr~ d' Brent fro 1 <br />1. Article Addressed to: If YES, enter d ive ad ow: No <br />G ~~t` <br />.. `~~' <br />__,,,~ <br />e-and Sandra Roosevelt <br />G <br />eorg . <br />' 24(~~--Fremont Co Rd 84 3. Ice Type <br />Florence CO 81226-8935 cen~edM~l <br />Registered °EzpressMail <br />^ Retum Receipt for Merchandise <br /> ^ Insured Mail ^ C.O.D. <br /> <br />2. Article Number 0 ~ ~ ~ /'~ O2. Artioie Number ~ ~ ~'y, ~ ('~ o I~~i ~~ ~~ ~~~ ~~ <br />(Transfer from service labeq ~ ~ O (~.J VV <br />PS Form 3811, February 2004 Domestic Retum Receipt toz5s5•oz M-tsao . <br />