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Caq:? ? ooh <br />?U2 <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 />1. Article Addressed to: <br />Lester F. Goforth <br />P.O. Box 541 <br />Nucla, CO 81424 <br />A. Signature <br />X P??GZs%Z1??1i/?L?iY V LJ Agent <br />Addressee <br />8. Received by (Printed NaOe) Date of Delivery <br />. <br />445&.L. t? .4?? C. /- fZ <br />D. Is delivery address different from Item 1? ? Yes <br />If YES, enter delivery address below: ? No <br />3. Service Type <br />? Certlfied Mail ? E)Vess Mail <br />? Registered '• ? Return Receipt for Merchandise <br />? Insured Mail ? C.O.D. <br />4. Restricted Delivery? (Extra Fee) <br />? Yes <br />7008 1140 0004 5015 3399 <br />PS Form 3$11, February 2004 Domestic Retum Receipt <br />102595-02-W1540