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¦ Complete item& 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 cat, return the card to you. <br />¦ Attach this (;a, i to the back of the mailpiece, <br />or on the front ,f space permits. <br />A. Signature <br />5" 0 Agent <br />X 'f ) L /'r 1/4 -1/' 0 Addresi afi <br />B. Received by (Printed Name) C. Date of Delivery <br />Til - fix <br />D. Is &Aveery address different from item t? 0 Yes <br />11 YES. ,inter delivery address below 0 No <br />CIl Y OF LAMAR <br />102 E :'ARMENTER ST <br />LA31''AR, CO 81052 a. Service Type <br />El Certified Mail 0 Express Mail <br />0 Registered Q Return Receipt for Merchandise <br />0 Insured Mail 0 C.O_D. <br />4. Restricted Delivery? lExtra Fee) 0 Yes <br />2 7008 01150 0000 3058 8481 <br />PS Farm 3811, February 2004 Domeutlc Return Receipt ,u ,j;,tt2•rn•ISStI <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 />t Arhrl..Artrin .-It.- <br />ELMER GRUENLOH <br />9900 CO RD HH.5 <br />LAMAR, CO 81052 <br />A. Signature r, <br />X `C XrwLt Ce.? ,,L?tt,' ? AgHnT <br />? 0 Addre:se <br />?e rveg,bU.1 PIhnfed Name) C. D to of 9etlver <br />7e ? 1 ??tl a <br />D. Isr dHllvenr taddrd-ss different front item 11 0 Yer, <br />It YES, enter dtAivory addr•as:; below 0 No <br />J. ServiceTypo <br />aCertified Mail 0 Express Mail <br />0 Registered 0 Return Receipt for Merchandise <br />0 insured Mail 0 C.0 D. <br />4, Restricted Delivery's (Extra Fee) 0 Yes <br /> <br />7008 0150 0000 3058 8511 <br />PS Fonn 3811, February 2004 Dnmestir~ Return Rec:elpt IM -595-02-M 11.19