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¦ 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 />1. Article Addressed to: <br />Mr. Rick Manyik <br />Elbert County <br />P.O. Box 116 <br />Kiowa, CO 80117 <br />A. Signature ? <br />B. Received by (Printed <br />Lcmp <br />D. Is delivery address diff <br />If YES, enter delivery <br />? Agent <br />y Yes <br />s`?elow: 16 e -? <br />3. Service 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 7008 1140 0003 4437 2585 <br />(rransfer from service label) <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 <br />Sb ?64 <br />M-l9 85 /zf