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ul U_S_ Pr <br />CERTIFIED MAIL RECEIPT <br />!Domestic Mail Only- No Insurance Cr. <br />m <br />"T <br />n <br /> <br />w <br />TWO a <br />)TWO <br /> <br />M <br />4 <br />0784\\ <br />O Postage $ <br />O Certified Fee ?Y $2.80 04 <br /> <br />C3 <br />Retum Receipt Fee $24V <br />'F <br />(Endorsement Required) <br /> <br />O Restrict Fee <br />ed Delivery s4 <br />(Endorsement Required) <br />? <br />r3 Total Postage & Fees $ \45.54 201 <br />C3 <br />r- Sent Tr ----T?" <br />siW i,-. Carolyn Groinger <br />or Pot 158 B Old Twisp Hwy. <br />ciiy, si, Twisp, WA 98856 <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 />X <br />Agent <br />1. Article Addressed to: <br />B. eceiv d by (P47ted Name C. Date of Delivery <br />DWEA&.N? ,' `-I- zz-I.o <br />D. Is delivery address different from item 1? ? Yes <br />If YES, enter delivery address below: ? No <br />Carolyn Groinger I <br />158 B Old Twisp Hwy. <br />Twisp, WA 98856 3. se ce Type <br />Certified Mail ? Express Mail <br />? Registered ? Retum Receipt for Merchandise <br />? Insured Mail ? C.O.D. <br />4. Restricted Delivery? (Extra Fee) ? Yes <br />2. Article Number 7002 0860 0003 5743 4429 <br />(Transfer from service label) <br />I PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540