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-0 1, <br />U-1 <br />I <br />(Domestic I <br />Coverage <br />For delivery information <br />Em <br />visit our <br />1 <br />,aae ".aXS ¢ {� � jai a <br />S # <br />J <br />Postage <br />$ <br />1 <br />Ll! <br />t.r r <br />QJ�B�r0 <br />' <br />Certified Fee <br />✓C <br />O <br />O <br />Return Receipt Fee <br />r S <br />0 <br />• -Postmark <br />ry <br />E3 <br />(Endorsement Required) <br />r �- <br />% <br />Restricted Delivery Fee <br />�OO� i <br />O <br />(Endorsement Required) <br />117 <br />7 <br />.=I- <br />Total Postage & <br />nr v 334000011 <br />tti <br />c-91 <br />91 r.Apr.- %vF,'DONNIE AND TAMMY SCIUMBATO <br />or PO Box Na ' <br />--- 39 LANE <br />city "stare PUEBLO, CO 81006 <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 this card to the back of the mailplece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />334000011 <br />DONNIE AND TAMMY SCIUMBATO <br />212 39' LANE <br />PUEBLO, CO 81006 <br />A. Sig re 4e< X <br />13 Agent <br />❑ Addressee <br />B. Rbet6 led by (Printed Name) I C �e qu Delivery <br />D. Is delivery address different from Item 1? Ltl Ye: <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />❑ Certified Mail ❑ Express Mail <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 7007 1490 0000 5419 0656 <br />(Transfer from service /abed <br />PS Form 3811, February 2004 Domestic Return Receipt 102595 -o2-M -1540 <br />