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C <br />Ce sL-i2 <br />-fY?o?c?ioY? Yll??1?iCa?-?or1 <br />¦ Complete items 1, 2, and 3. Also complete A Signature <br />item 4 if Restricted Delivery is desired. <br />¦ Print your name and address on the reverse X <br />g <br />- 13 <br />Agent <br />so that we can return the card to you. E3 Addssee <br />• Attach this cans to the back of the mailpiece e <br />lived <br />B• by (Printed Name) C. Date of Delivery <br />, <br />or on the front if space permits. We <br />1. Article Addressed to: D. Is delivery address different fro tem 11 0 Yes <br /> If YES, enter delivery addre elow: 0 No <br />Melvin W. and Lea Ann Staats <br />P.O. Box 10 <br />Nucla; CO 81424 <br /> 3. Service Type <br /> 0 Certified mail a express Mail <br /> 13 Registered 0 Return Recelpt for Merchandise <br /> 0 Insured Mail 0 C.O.D. <br />4. Restricted Delivery? (Extra Fee) 0 Yes <br />2. Article Number <br />(Transfer from service label) 7008 1140 0004 5 015 3429 <br />PS Form 3831 1 February 2004 Domestic Return Receipt <br />-- 702595-02-M-1540