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U.S. Postal Service <br />CERTIFIED MAIL,„ RECEIPT <br />(Domestic Mail Only; No Insurance Coverage Provided), <br />For delivery information visit our website at www.usps <br />$0.44 <br />$2.85 <br />$2.30 <br />$0.00 1 <br />$5.59 <br />Retum Receipt Fee <br />(Endorsement Required) <br />Restricted Delivery Fee <br />(Endorsement Required) <br />Total Postage & Fees <br />Sent To <br />Street, Apt. No.; <br />or PO Box IW. <br />Postage <br />Certified Fee <br />City, Stete, ZIP+4 <br />SENDER: COMPLETE THIS SECTION <br />a • 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 />PS Form 3800, Augus <br />See Reverse for Instructions <br />SHIRLEY KRAVIG <br />279 28TH LANE <br />PUEBLO CO 81001 <br />PS Form 3811, February 2004 <br />SHIRLEY KRAVIG <br />279 28TH LANE <br />001 <br />PUEBLO <br />0081.. �'' • . <br />4 0 s d �i <br />c - Postmark \ <br />Here Q ` <br />r 4; <br />m <br />oZBZd� �! <br />✓ �� /201 <br />oN <br />7010 3091 0001 885 ...2296 <br />2. Article Number <br />Domestic Return Receipt <br />COMPLETE THIS SECTION ON DELIVERY <br />B. Recely- sl:y (Printed Name) <br />A. Signature <br />X <br />Agent <br />❑ Addressee ' <br />C. D,te 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 Mall ❑ Express Mail <br />❑ Registered ❑ Retum Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) <br />❑ Yes <br />102595.02 -M -1540 <br />