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• Complete items 1, 2, and 3. Also complete A Sign re n <br />item 4 if Restricted Delivery is desired. 13 Agent <br />• Print your name and address on the reverse X ❑ Addressee <br />so that we can return the Card to you. B. Received by (Printed Name) - C. Date of Delivery <br />• Attach this card to the back of the mailpiece, r <br />or on the front If —h e I (Q G 0. O r space permits. <br />1. Article Addressed to: D. Is delivery address d&rent from Rem 17 ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />Gregory & Sheila Taylor <br />PO Box 395 a. e Type <br />Stratton NE 69043 Luceftwed Mail <br />0-9,press Mail <br />❑ Registered O Retuan Receipt for Merchandlse <br />-- -- — -- - ❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 7007 2560 0000 3980 6560 <br />(rmnsler from servke ?abe?) <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02 -ir lW <br />Lin <br />For delivcry information visit <br />our website, at wwwmsps.comc <br />Er <br />Postage <br />$ <br />$0.46 <br />0662 <br />M <br />CerdffW Fee <br />$3.14 <br />43 <br />C] <br />Postmark <br />CJ <br />Fee <br />(ErKlommaRequired) <br />M <br />$rte..`. J <br />Here <br />O <br />Restricted Dernvery Fee <br />(Endorsement Required) <br />$4.40 <br />M <br />Ln <br />Total Postage & Fees <br />$ <br />$6.11 <br />47/31/2013 <br />ru <br />Iti <br />Gregory & Sheila Taylor <br />IS <br />PO Box 395 <br />-We Stratton NE 69043 <br />Ems <br />• Complete items 1, 2, and 3. Also complete A Sign re n <br />item 4 if Restricted Delivery is desired. 13 Agent <br />• Print your name and address on the reverse X ❑ Addressee <br />so that we can return the Card to you. B. Received by (Printed Name) - C. Date of Delivery <br />• Attach this card to the back of the mailpiece, r <br />or on the front If —h e I (Q G 0. O r space permits. <br />1. Article Addressed to: D. Is delivery address d&rent from Rem 17 ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />Gregory & Sheila Taylor <br />PO Box 395 a. e Type <br />Stratton NE 69043 Luceftwed Mail <br />0-9,press Mail <br />❑ Registered O Retuan Receipt for Merchandlse <br />-- -- — -- - ❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 7007 2560 0000 3980 6560 <br />(rmnsler from servke ?abe?) <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02 -ir lW <br />