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7010 1670 0000 2043 7691 <br />Ot'91. 959204 <br />8 A ❑ <br />AGanpOQ to alga •0 <br />easseippv ❑ <br />play ❑ <br />' ❑ <br />esipueyaaevi.o;ldieoeu wnleu [� <br />new smidx3 ❑ <br />T69L Eh02 0000 0L9T OT0L <br />(end awe) Ltianllea Pelopisea •b <br />new pulse' ❑ <br />peuelsi6eu ❑ <br />Ile 1 PelllJa00 <br />edM. eoi eS 'e <br />• AI <br />,. <br />ON ❑ :mojeq ssoippe Rrenpap le ;ue 'S3A ii <br />se,, ❑ L G well woui Immo) ssarPPe N 81 •0 <br />Z N1JJ ZWdOJ .. <br />(eweN PejuPd) i( penleoaa <br />A83n1730 NO NOLLO3S SIHM 3137dINO0 <br />NDER: COMPLETE THIS SECTION <br />COMPLETE THIS SECTION ON DELIVERY <br />B. Received by (Printed Name) <br />102'595 <br />r" �rk-" r�+ iti %u ?t <br />;Complete Items :- and _3 Also,gompiete <br />.14#1:74:1t.909-100....1?-4.11-07 I desired <br />• Print yotjr 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 />■ <br />Jessie P. Cogburn <br />13473 County Rd. 17 <br />Platteville, CO 80651 <br />l F .Article.Nuriber; 1 <br />()tenet* from service Iabe° <br />PS Form 3811, February 2004 <br />tcheoeld wnleu oilsawoQ 07003 A.1enige,4 '14.88 'mod sd ! <br />(/egej ebgyes way Jejsuai1) <br />eloll+N •g <br />8SL0 °2£908.00 'IaTe,a.zO <br />8SL XOg • 0 d <br />r •'bud 'TToaxeD. u9Q :Nssti <br />. sx.zoM <br />STand �O • 4dea Jquno3 PTaM <br />:ol 'l <br />•slipued eot:ds ;l luwt 0q4 up ]o <br />'eoeidiiew eyl ;o )losq ey;ot pane $ly} goenv ■ <br />n0/ Ol PJSO e U1111O4 u80 eM ;ryl be <br />.esienea era uo s se ppe pug e we U ano�f 4UPd ■ <br />p sl IGenllel] pe p1Se i )1 b well <br />eleldwoo osly g p ue'g swel eleldwos <br />NOLLO3S SIH.L 3137d1NO0 :1d3CIN3S <br />7010 1670 0000 2043 7677 <br />Domestic Return Receipt <br />D. Is delivery different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Se Ice'Type <br />l�Certifled Mall <br />❑ Registered <br />Insureed Melt <br />4. Restricted Delivery? (Extra Fee) <br />❑ Express Mall <br />❑ Return Receipt for Merchandise <br />0 C.O.D. <br />70101670 b000 2043 7677 <br />0 <br />3 <br />a 3 <br />3 ' <br />33 9 <br />�•s <br />g - <br />3m .s� <br />w <br />a <br />- <br />m <br />N3 <br />❑ Yes <br />Delivery <br />