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w Complete items 1, 2, and & Also complete <br />Item 4 V Restricted Delivery le 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 hack of the malipiece, <br />or on the front If space permits. <br />1. Article Addressed to: <br />Tim D. and Jeanne Iverson <br />5011 F Street <br />Greeley. CO 80631 <br />O Agent <br />Date of Delkery <br />D. is delivery address different D Yes <br />roe No <br />If YES, enter delivery <br />C? <br />3. Ice Tye <br />owned Mail MaiD Registered <br />D Insured Mali *C!t?00')Z, <br />4. Restricted De1WW (Extra Fee) D Yes <br />2. AMkleNumber 7010 1570 0001 5630 5510 <br />(rmndar from service ilabet <br />PS Form 3811, February 2004 Domestic Retum Receipt tt r?tsao s <br />a <br />(Domestic Only; Provided) <br />b <br />i <br />t <br />t <br /> www.tis;ps.com <br />our we <br />s <br />te a <br />delivery information visi <br /> OFFICIAL USE <br />C3 <br />m <br /> <br />.A postage <br />m <br /> <br />$ <br />t L <br />Certified Fee ?O <br /> - k <br />P <br />O ostmar <br />Retum Recelpt Fee <br />C3 (Endorsement Required) <br />C3 ^^? <br />P-? to <br />Restdcted DCry Fee <br />= <br />M <br />C3 (Endorsement Fleq <br />'D -Toottall POWtage & Fees [$ S' ?e <br />a I Tim D. and Jeanne Iverson <br />v 5011 F Street <br />r'- I <br />Ul (Domestic Mail Only <br />For delivery information : No Insuranc <br />visit our webs e C <br />ile •. .. <br />overage <br />at www.usps-com <br />L FI <br /> <br />F <br />a CIA L <br />USE <br />o <br />m <br />,A Postage S e <br />U1 <br />Certified Fee •?D <br />r-1 <br />O <br />C3 <br />Retum Recut Fee <br />sement Re <br />uired) <br />E <br />d <br /> <br />3 Q p <br />1ers k <br />Here <br />C3 q <br />( <br />n <br />or . <br /> <br />? Resktcted Delivery Fee <br />(Endorsement Required) <br />lti <br />ICO <br /> <br />e & Fees $ <br />tal Posta <br />T <br />J' s <br />!may! <br />rq g <br />o <br />C3 Mary C. Stevens <br /> <br />r3 <br />5406 W. F Street M1 Greeley, CO 80631 •------ »--» <br />17- Greeley. CO 80631 <br />¦ Complete'Rems 1, 2. and & Also complete <br />Item 4 if Restricted DeNvery Is deWfed. <br />¦ Print your name and address on the reverse <br />so that we can retum the card to you. <br />¦ Attach this card to the back of the mailplec^ <br />or on the front It space permits. <br />1. Article Addressed to: <br />Mary C. Stevens <br />5406 W. F Street <br />Greeley. CO 80631 <br />A. 81 <br />dresses <br />B. Ret>elved by (ft tad Alarms) C. Mte of Delivery <br />I 1-t"1/ <br />D. is deliveryaddress di fererd from item 1? D MIS <br />ff YES, enter delivery address low: D No <br />3 <br />SpVbe Type <br />Man D Express Mall <br />D Re*WW Receipt for Merchandise <br />D Insured Ma C.O.D. <br />4. Restricted Delver)R (Foss Fee) D Yes <br />2. ArWe Number 7010 1870 0001 5630 5527 <br />(>tar>s?r,fa?tt serge raoer? __ _ _ _ _ _. _. <br />PS Form 3811, February 2004 Domestic Rettun Receipt -- ta?sa?z t4 fts4o