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I Low N?W-?W? <br />r m <br />r- $0.44 <br />rn <br />-- x$2.80 <br />postage* c? $2.30 ?,k <br />r" Certified Fee: t Femf,t ? 11« °' <br />r3 <br />Ftece!P 5.54. <br />r3 (EReturn ?. $ "d <br />C3 postage & Fees-ti. <br />iETots <br />y \. <br />ra Total Postage & Fees <br />r =I <br />Fo. °- <br />C3 Kathleen Smith <br />O pt. David & <br />-----°-----...--°-------- <br />r- r P BOX?1 <br />te, ? Hayden, CO 81639 <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 />A. <br />? Agent <br />1. Article Addressed to: <br />i <br />David & Kathleen Smith <br />P.O. Box 461 <br />Hayden, CO 81639 <br />s. <br />I <br />B. eceived Arinted Name) C. Date of Delivery <br />D. Is delivery address different from item 1? ? Yes <br />If YES, enter delivery address below: ? No <br />3. Se ice Type <br />19 Certified Mall ? 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 />- <br />(Transfer from service label) 7008 1140 0003 4437 1441 <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540