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¦ Complete items 1, 2, and 3. Also complete <br />Item 4 R 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 mailpiec:e, <br />or on the front It space permits. <br />F1. Articie Addressed to: <br />JEREMY BASAMANIA <br />3409 COLONY HILLS RD <br />COLORADO SPRINGS CO <br />80916-3448 <br />2. Article Number <br />(Fmnsfer hwn service <br />A. Sign ure <br />X Z=:: '2 <br />(Primed Narne) <br />D. Is delkery addres9 <br />If YES, enter Tess <br />AI, <br />I Complete Items 1, 2, and 3. Also complete <br />? Agent Item 4 if Restricted Delivery Is desired. <br />--b Addressee I Print your name and address on the reverse A. Signa''Gr? <br />ff <br />x <br />C. Date of Delivery so that we can return the card to you. <br />1 Attach this card to the back of the mailpiece, B. R (Pdnted Name) <br />or on the front N space permits. i <br />Ij ? es <br />Q ? No . Article Addmt%P l r,.• D. V*ery address dl"e fft r131 <br />n YES, enter delivery address <br />JAMES E, JR & BRENDA J CARDIS <br />^4092 COLONY HILLS CIR <br />p COLORADO SPRINGS CO <br />> 80916-3408 <br />3. Type <br />Off Grwied man ? E) ess Mail <br />? Registered ? Return Receipt for Merchandise <br />? Insured Mail ? C.O.D. <br />4. Restricted Delivery? (Extra Fee) ? Yes <br />7006 2150 0001 7307 1389 <br />Agent <br />0. of Del <br />1? ? Yes <br />to i ? No <br />iG <br />3. <br />yAw type <br />Ceruw Mail O mpess man <br />? Registered ? Return Receipt for Merchandise <br />? Insured Mail ? C.O.D. <br />4. Restricted Deliver)? (Extra Fee) ? Yes <br />ArticleNwrtber 7006 2150 0001 7307 1273 <br />ffimster from Service label) <br />PS Form 3811, February 2004 Domestic Retum Receipt <br />i ¦• <br />i ? <br />cc <br />j ?. • <br />Im <br />Mr. n My III <br />to <br />irl Postage $ <br />certified Fee <br />Cl Return Receipt Fee <br />(Endorsement Required) <br />C3 <br />Restricted Delivery Fee <br />(Endorsement Required) <br />Ln <br />r-R Total Postage & Fees <br />ru <br />.0 Sent-F&- <br />1:3 Q Stieef, ilpt No. <br />r- or PO Box No._*46 <br />102595-02-M•1540 i roan -30 t 1, t-eDnlary 2004 Domestic Reti m Receipt <br />i U.S. Postal Service,,, <br />(Domestic .TM RECEIPT CERTIFIED MAIL,. RECEIPT <br />rance Coverage Provided) r- I Mail Only; No Insurance Coverage Provided) <br />ru For delivery information visit our website at www.usps.comj) <br />90.58 0179 71 Postage $ $0.58 , ' <br />$2.65 02 Certified Fee $2.65 . „ 02 <br />$2.15 Poet mrk O Return Receipt Fee $2.15 P "ere m <br />` (Endorsement Required) <br />,. C3 . <br />$0.00'- Restricted Delivery Fee <br />p (Endorsement Required) •oo \ OC <br />Lrl <br />$ <br />e?. 1 N Total Postage & Fees $5.38 <br />Sent To <br />t' C3 5`freet, Apt o <br />or PO Bar No. <br />t <br />' Co , d• a (G City, §tefe ZIP+4 O c ?C C -C/ l b <br />See Reverse for Instructions PS Form 3800, August 2006 See Reverse for Instructions <br />10¢595-0244-1,1