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ai SENDER: <br />• •Complete items 1 an4/or 2 for additional services. <br />w •Complete items 3, 4a, and 4b. <br />H • Print your name and address on the reverse of this form so that we can return this <br />E card to you. <br />• •Attach this form to the front of the mailpiece, or on the back if space does not <br />permit. <br />r ■ Write'Retum Receipt Requested'on the mailpiece below the article number. <br />■The Return Receipt will show to whom the article was delivered and the date <br />c delivered. <br />• 0 <br />113 3. Article Addressed to: <br />d <br />a <br />E <br />JoEllen Turner <br />• cc P.O. Box 346, <br />a Nucla, CO 81424 <br />z <br />cc <br />m 5,--R ved By: (P 'fit Name) _ <br />c ('A • 6 Signature: dre see Agent) , <br />1 <br />(X • '/..,. f1./ <br />PS Form 3811, December 1994 <br />I also wish to receive the <br />following services (for an <br />extra fee): <br />1. ❑ Addressee's Address <br />2. ❑ Restricted Delivery <br />Consult postmaster for fee. <br />7008 1140 0004 5015 3160 <br />4b. Service Type <br />❑ Registered 1111 Certified <br />❑ Express Mail ❑ Insured <br />❑ Return Receipt for Merchandise ❑ COD <br />7. Date of Delivery <br />8. Addressee's Address (Only if requested <br />and fee is paid) <br />c' -IGg I--Doe) <br />Co�cd ko) <br />Domestic Return Receipt <br />d <br />Cl) <br />a <br />d <br />