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• <br />• <br />O <br />0 <br />m <br />t7 <br />r-1 <br />SENDER: COMPLETE THIS SECTION <br />COMPLETE THIS SECTION ON DELIVERY <br />C. Date <br />• Complete items 1, 2, and 3..AIso 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 />TERRY & DONNA BUCKALLEW <br />PO BOX 705 <br />RYE CO 81069 <br />2. Article Number <br />(Transfer from service label) <br />PS Form 3811, February 2004 <br />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.com�„ <br />- l2" I C I A L U E <br />r te,, — <br />0 <br />Postage <br />Certified Fee <br />Retum Receipt Fee <br />(Endorsement Required) <br />Restricted Delivery Fee <br />(Endorsement Required) <br />Total Postage & Fees <br />$0.44 <br />$2.85 <br />$2.30 <br />$0.00 <br />$5.59 <br />w <br />Sent To -- <br />Street, Apt.NN TERRY & DONNA BUCKALLEW <br />or PO Box No. PO BOX 705 <br />crty, ware, Zil RYE CO 81069 <br />PS Form 3800, <br />oee • everse or Instructions <br />Domestic Retum Receipt <br />D. Is del ery address different from item 1? ❑ ' es <br />If YES, enter delivery address below: No <br />3. Se Ice Type <br />Certifed Mail <br />D Registered <br />D Insured Mail <br />4. Restricted Delivery? (Extra Fee) <br />7010 3090 0001 8851 2258 <br />❑ Express Mail <br />O Retum Receipt for Merchandise <br />❑ <br />C.O.D. <br />❑ Yes <br />ssee <br />Delivery . <br />102595.02 -M -1540 <br />