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Postal <br />CERTIFIED MAILT. RECEIPT <br />m (Domestic Only; No Insurance Coverage Providei <br />m? -- - <br />,°? Postage: $0,4 <br />Certified Fee: ooti$2P80 <br />4 i ; ark <br />3 <br />E3 Return Receipt Fee: 1$2-V <br />0 <br />C3 Total Postage & Fees. S r-$5.54 <br />r-q Total Postage & Fees I $ <br />r-1 <br />CID Sharron O. Chambers <br />C 1840 C.R. 207 ..................................... <br />Durango, CO 81301 <br />:O. 11. <br />¦ Complete item§41,1, and 3. Also complete <br />item 4 if Hest?icted Delivery is desired, <br />¦ Print your rtame'and address on the reverse <br />so that we can iret4ri*ie card to you. <br />¦ Attach this card to the.back of the mailpiece, <br />-or on the front if space p, r it% <br />I {; Article Addressed to: <br />Sharron _O. Chambers <br />1840 C.R. 207 <br />Durango, CO 81301-?? _ <br />1 - <br />A. Signature <br />Y(?,?i <br />ACM cutn..--. ? <br />? <br />0 Agent <br />0 Addressee <br />7 <br />B ecelved by ( Printed Nam C . De of .Delivery <br />D. Is delivery address different from Item 1? 0 Yes <br />If YES, enter delivery address below: 0 No <br />3. Service Type <br />0 Certified Mail 0 Frees Mail <br />- 0 Registered 0 Return Receipt for Merchandise <br />0 Insured Mail 0 C.O.D. <br />4. Restricted Delivery? (Extra Fee) 0 Yes <br />2. Article Number 7008 1140 0004 5 015 3665 <br />(rransfer from service iabeo <br />PS Form 3811, February 2004 Domestic Return Receipt 102555.0244-1540 <br />.ti