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(Domestic Only: No Insurance Coverage ?:.• <br />ru <br />For debvory information wail our ra <br />ru e T "s <br />Q <br />0 Poeta®e $ <br />Ln <br />Certified Fee <br />rn Pametk <br />O tint Reeqqui roe Here <br />(Ends r" <br />C3 Reatr ccted QeUvey Fee <br />J <br />M (Endorawnent Requfrwl) Jc' t S I L? S <br />:I- TOW Postage & Few $ <br />M r o tlt Ak Wttse.c,-, ... <br />M 4 +d Zou?r:+y aaVz5M ......... .. ... <br />r- or PO Box No. <br />City; Stare,'ZtP'i4 <br />Cask. C c c ly 4i? <br />faom&le itgrns 1, 2, and 3. Also complete <br />)tem 4 If Restricted Delivery is deeired. <br />to PrUit your name and address on the rever've <br />so that we can return the card to yotL <br />• Attach this card to the back of itu9 omllply^ <br />or oo the front it space p"ts. <br />1. Anicfe Addressed to: <br />Phillip M. Wisecup <br />24120 County Road 25 <br />P.O. Box 784 <br />Oak Creek, CO 80467 <br />A. <br />X %? ,,,z 4? r-1 Agent <br />(to fr?t x8r»e V <br />,I 0i date of <br />ks del o iy address di8ersnt from item 17 Q Yes <br />tt YES, enter delivery address butaw; 0' No <br />Akow W tvlatt b r s Mail <br />11=4 Aere? 0 Raritan R?atpt tar Merchardiss <br />Gtstn6mall M AU <br />U <br />4. RestrIcted QatWery Oft Fee) C1 *9 <br />2' ArWa NiHnW <br />7007 1490 0003 5002 8t _ <br />P3 Fom 3011. Fetxuary 2004 Domestb Return, Receipt 10258"Z*1 w <br />?Mw- ""pp, 1111