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CERTIFIED MAILT. RECEIPT <br />(Domestic Mail Only; No Insurance Coverage Providec <br />I <br />OFFICIAL U -SE, <br />Postage $ ftd?IL -1 ? � <br />Certified Fee 1 T ` G` I � v5 (J /� <br />t� 9' Postmark <br />O Relum Receipt Fee ` Here <br />(Endorsement Required) <br />Q Restricted Delivery Fee <br />ra (Endorsement Required) <br />t- l <br />ru <br />Total Po: <br />JULIE L ADAMEK <br />C3 <br />Sent o 8155 GALLATIN RD <br />BOZEMAN MT 59718-7651 <br />or PO Bax <br />Cary Stets, <br />PS Form 381N) Ji -c <br />r <br />■ Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />t Print your name and address on the reverse <br />so that we can return the card to you. <br />• Attach this card to the bad*bf the maiipiece, <br />or on the front if space permits. <br />1. Article Addressed to <br />JULIE L ADAMEK <br />80155 GALLATIN RD <br />BOZEMAN MT 59718-7651 <br />A. SiQrMure <br />ceived by ( Printed Name) C. bate of Delivery <br />D. Is delivery aci; item 1? 11 Yes <br />�� slow: `IMNo <br />3.vyl-`4C <br />Chi tslie aid's�Express Mail <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4, Restricted Delivery? (Extra Fee) ❑ Yes <br />2. (rticle nsfer Number <br />7004 2510 0004 3876 9938 <br />(Transfer from service label) <br />PS Form 3811, February 2004 Domestic Return Receipt 102545-02-M-1540 <br />