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~~ ° ~I- a o~ a- vn 3 <br />Sad/ <br />~~~ ~~ ~ <br />~~~ ;~2~ <br />~' ~ ~ ' <br />r <br />^ Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />^ Pdnt your name and adtlress 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 it space permits. <br />1. Article Atldressed to <br />A <br />Received <br />C. Dpte of Delivery <br />D. Is deF~/ery adtlress different frem Rem 17 U Yes <br />If YES, enter delivery adtlress below: ^ No <br />Ms Georgia Rubeck <br />2010 Wold Ave <br />Colorado Springs CO 80909 a. Service Type <br />^ Certlfled Mall ^ Express Mail <br />^ Registered ^ Return Receipt for Merehantllse <br />^ Insured Mail ^ C.O.D. <br />4. Restdcted Deliveryt (Extra Fee) ^ Yes <br />2. ArtICIeNUmber 7003 1680 000 6431 6416 <br />(/ransler /rom seMCe IabeQ <br />P3 Form 3811, February 2004 Domestic Return Receipt tozsssoz-nl-tsao <br />~ ~ ~ <br /> <br />.7 .. <br />..D 4 r <br />~ ~~ Z <br />s <br />..D <br />p PaetapB 5 <br />C~ <br />p <br />o renmed tree `~. ' N <br />p RaWm Redept Fee ~ ;. <br /> (EndoBemem Requved} a Q <br />0 Restrkted l1elNery Fee i~ <br />~ (EMoraemem Required) Ly <br />~ S <br />D <br /> Totel Postage 4 Fees $ <br />m -- <br />o seer o <br />0 <br />t` ................... <br />3o-eet ape Na; Ms Georgia Rubeck ...-_._.._.. <br /> w PO ea. Na..._. 2010 Wold Ave <br /> ~' S~'~Pt4 Colorado Springs CO <br />:,, „ 80909 <br /> <br />