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-%Oj-I I,I II IA-" iv IT11.LTV7 I ILV1-1 W- 1 <br />(Domestic:Mail Only, No Insurance.Coverage Providec <br />`Foedellverv information visit DurwP_hsitP at www an. - <br />m <br />C`- <br />C3 Postage $ <br />C3 Certified Fee <br />C3 Postmark <br />O Return Receipt Fee <br />r3 (Endorsement Required) Here <br />Restricted Delivery Fee <br />M O (Endorsement Required) <br />m Total Posta e & Fees <br />14 -1. <br />cO Sent To p <br />G t 6re2 <br />? Street, pt. o.; <br />or PO Box No. UL <br />----- i - ----'--------------- <br />City, State. ZlP+4 --°---------------------°----- <br />tare, l ev 11rt es063t <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 />iOC6 I &k'51- <br />Greeleyr CO $6631 <br />A Sign <br />atu <br />X 5 ? Agent <br />? Addressee <br />B. Received by (Printed Name) it Date of Delivery <br />D. Is delivery address different from item 1? ? Yes <br />If YES, enter delivery address below: ? No <br />3. Service Type <br />Certified Mail ? Express Mail <br />? Registered ? Return Receipt for Merchandise <br />? Insured Mail ? C.O.D. <br />4. Restricted Delivery? (Extra Fee) ? Yes <br />2. Article Number <br />(Transfer from service labeq 70N?- 3236 6OW-' 60-3 7 ((? <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540