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i~irn <br />~~ <br />1 Complete ttems 7, 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 />Edmonds, Jeffrey Lee <br />173 Sunlight Drive <br />Grand Junction, CO 81503 <br />2. Article Number <br />(transfer /rom serv/ce label) <br />PS Form 3811, February 2004 <br />A. Signature i <br />X~ i ` ^ Agent <br />^ Addressee <br />8. Received by (Printed N C. Date o} Deli <br />D. Is delivery adtlress different from item 1? ^ Yes <br />If YES, enter tlellvery address below: ^ No <br />3.~Seqnce Type <br />/~~(Csrtifled Mall ^ Express Mail <br />LJ'41eglstered ^ Retum Receipt for Memhandise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (Exbe Fee) ^ yes <br />7003 1680 0 <br />Domestk Retum Receipt <br />4 <br />