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M1g9I -12-3 <br />IvIU 20 1 � 0 2f-) <br />cer-4iC6 Mali - irtJ3 <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 />Article Addressed to: <br />jo' ill Kobobel ! - <br />7909 Weld County Road 5 <br />Longmont, CO 80504 <br />H. ww,�u.,T•H <br />A•'M"RA�- -K1 rymGG��MylL f°r^4�•vw, <br />PS Form 3&t t' <br />1/0 ia�1161-z <br />A. Si nature <br />X l ❑ Agent <br />❑ Addre <br />B. Received by (Printed Nai4C"A. of D ale <br />D. Is delivery address different from Rem 1? ❑ Ye; <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />❑ Certified Mail <br />❑ Registered <br />❑ Insured Mail <br />❑ Express Mail <br />❑ Rstum Receipt for Merchandise <br />❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) <br />7012 3460 <br />0000 6385 3D11 <br />4uu4 Domestic Return Receipt <br />Postal <br />CERTIFIED MAILTr,, RECEIPT <br />(Domestic Maii Only; No insurance Coverage Provided) <br />r-i _ <br />° <br />M ostage: <br />Ln Certified Fee: $0.48 <br />cc Return Receipt Fee: $3.30 <br />M $2.70 <br />° Total Postage & Fed CO <br />° Re .48 <br />C3 ° (Endorsement Hegw I <br />reu/ k <br />i. �. <br />° Restricted Delwer Fee <br />(Endorsement Regmred) �) j <br />Total Postage & Fees fJ <br />M Sent To PI / <br />nj Bill Kobobel <br />r'q <br />Street Apr No.; - -- 7909 Weld County Road 5 - <br />° or PO Box No. Longmont, CO 80504 <br />N <br />City, State, ZlP +4 -------------------- <br />ta'14M. Old <br />❑ Yes <br />102595 -02 -M -1540 <br />