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~a8~-c~3 <br />s L -~~ <br />.. <br />,~ . <br />~•~ •• <br />m ..- ,. <br />'-~ osfa -~ ~_ ~ „~ <br />~ 9e: <br />Certifieq <br />° Ret Fee: <br />r <br />, °° ~ Receipt F X0.41 <br />ee' S <br />°° (Re Total Postage & Fee ~'~ 15 <br />~ (Endorsement fiey,,,,,,_, S' <br />f71 ~~• ~ ~ <br />Total Postage & Fees <br />u7 <br />0 Sent To <br />° Jack Wiitse <br />.tpr.Tfo.; 2614 East 20"' .---------------------- <br />orPOBoxNo. ,Apt ]$ <br />cny"siaie-,,-zir~:a-"-----''Fat7rtington, NM 87401 ..._--------------'---- <br />:~~ ~~ <br />^ Complete items 1, 2, and 3. Also complete A. Signature <br />item 4 if Restricted Delivery is desired. X /, ~ ^ Agent <br />^ Print your name and address on the reverse `C ^ Addressee <br />so that we can return the card to you. <br /> <br />^ Attach this card to the back of the mailpiece <br />or on the front if space permits. g, R iv d by Printed Na e) C. <br />, . Da of Deli <br />~ ~'y ~~ <br />/ <br />1. Article Addressed to: D. Is delivery address different from item 1 ^ Ye <br /> If YES, enter delivery address below: ^ No <br />.'?ck Wiltse <br />2614 East 20a', Apt JS i <br />Farmington, NM 87401 i 3. Se 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 <br />(Transfer from service iabeq <br />7 0 0 5 3110 0 ~ 0 ~ 219 9 3 6 6 5 <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 <br /> <br />