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l� <br />f✓I --)C-) I 3 — 05" <br />cc, r� -� died <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 mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />Jean Marie Cowman <br />1065 S. Woodland Ave. #1 <br />Woodland Park, CO 80863 <br />e <br />Mail- <br />A. <br />X <br />❑ Agent <br />g..Rec Ived by (P ' tdd Name) C. DWe,,o,f��elive <br />GC G' ACC 5 �l <br />D. s delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />E4 Certified Mail ❑ Express Mail <br />O Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 7 011 3500 0 0 0 2 9607 6 810 <br />(fwansfer from service Meg <br />PS Form 3811, February 2004 Domestic Return Receipt 102595 -02 -M -1540 <br />Postal <br />MAIL. M CERTIFIED <br />r-3 omestic Mail Only; No Insurance Coverage Provided) <br />l-j r <br />�111 Postage $ � �~ <br />Q-. <br />Certified Fee <br />ni <br />C3 Return Receipt Fee Postmark <br />C3(Endorsement Required) Here <br />Restricted Delivery Fee <br />C3 (Endorsement Required) <br />0 <br />t17 Total Postage & Fees is <br />M <br />Sent To <br />r—1 <br />Q street Apt. Jean Marie Cowman <br />`` o.PO Box t 1065 S. Woodland Ave. #1 ------- <br />ciry, srare, . <br />Woodland Park, CO 80863 <br />