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IWMII�)5 <br /> SENDER: . . DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Si u <br /> item 4 if Restricted Delivery is desired. ❑Agent <br /> ■ Print your name and address on the reverse ❑Addressee <br /> so that we can return the card to you. B. Receroed b (P � <br /> rin ame) C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front if space permits. <br /> D. Is delivery address different from item 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑No <br /> Mr.Matthew Valdez <br /> Costdla County I 7 6 G�f <br /> P O.Box 130 l <br /> uis CO 81152 <br /> 3. "Nice Type <br /> fCertified Mall ❑Express Mall <br /> ❑Registered ❑Return Receipt for Merchandise <br /> ❑Insured Mail ❑C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7D11 35D0 DDD2 96D7 761,9 <br /> (fiansfer from service/abe>J _ <br /> PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 <br />