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U.S. Postal Service,. <br />CERTIFIED MAILTM RECEIPT <br />(Domestic Mail Only; No Insurance Coverage Provided) <br />Postage <br />Certified Fee <br />Return Receipt Fee <br />(Endorsement Required) <br />Restricted Delivery Fee <br />(Endorsement Required) <br />Total Postage & Fees <br />SENDER: COMPLETE THIS SECTION <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 thls card to the back of the mallpiece, <br />or on the front If space permits. <br />1. Article Addressed to: <br />2. Article Number - <br />(Transfer from service label) <br />PS Form 3811, February 2004 <br />For delivery information, visit our website at'www.usps.com® <br />$0.44 <br />$2.85 <br />$2.30 <br />$0 <br />$5.59 <br />3. Service Type <br />'Certified Mall <br />❑ Registered <br />❑ Insured Mail <br />■ <br />See Reverse for Instructions <br />Sen <br />THERESA ELAINE JONES <br />o;F 107 W. CHEYENNE ROAD APT. 407 <br />-61 64 COLORADO SPRINGS, COLORADO <br />COMPLETE THIS SECTION ON DELIVERY <br />❑ Agent <br />Addressee <br />B. Received by (Printed Name) C. Date of Delivery <br />" : - S - r) 41 9= 36- 1) <br />D. Is delivery address different from item 1? 0 Yes <br />If YES, enter delivery address below: 7 No <br />e <br />ostmark <br />'&Herre <br />THERESA ELAINE JONES <br />107 W. CHEYENNE ROADAPT. 407 <br />COLORADO SPRINGS, COLORADO 80906 <br />4. Restricted Delivery? (Extra Fee) <br />7011 0470 agao 6617 68‘?2, <br />❑ Express Mail <br />❑ Retum Receipt for Merchandise <br />❑ C.O.D. <br />❑ Yes <br />Domestic Return Receipt 102595-02 -M -1540 <br />