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1}i`Jltl 3H1 pl 3c!Ol7AN3JJ0 d01 ! V U3N�IiS 7� ✓'1d <br />� . <br />�■ GomTslete � 1, 2, ar►d 3. Also cGmptete <br />item 4 if Rashicted belivery � deair�. <br />�■ P'rint yarr rr�me: and address on the reverse <br />so tha# we cari retum the Qard to you. <br />�� Atta� th� t�rd to the badc of the rt�il�ec�. <br />� ot on tF� front If s� �rniffi. <br />I 1. ArdclaAddra�sedto: <br />Ana Lilian Vargas <br />321 W 6th <br />� Grand Island, NE 68801 <br />�- - <br />q, Signawre i <br />X �� � <br />O nd� � <br />B. Recetvad by (Pdnted Nmres) C. Date of Deltvery I <br />i <br />D. Is deliv�r � ditPerenttr�n item 1? O Y� � <br />If YES, � deQv�y addr�s �low: 0 No � <br />I <br />� <br />I <br />a s�e�rype � <br />�Cerlifled Map D Express INe� j <br />[] �ea a R�un R� to► �mn� � <br />❑ Insured Map � CA.D. � <br />I 2 /�Kide W�nmber <br />� (Rm�er no�, s�rr�e f� <br />; Ps r-orm 3811, Febru�y zoo4 <br />� 4. R�, �,{, r� �� <br />7[]09 2820 0002 8397 7587 <br />DOIIIQSdC R61{dTl RACB�pt <br />C. � _., _ .. . - . — - <br />.�_.;_. - � � -�- ------- .. -,�� --- <br />- . e-..>_� .. _. __ F _._ .�. . , _.-- :-.�- ._.-. . ...._. ._ __.,. .. ._ .. <br />O Y� <br />102b88-02�M-1840 ' <br />i <br />' � <br />� <br />� <br />� <br />� <br />V ` <br />� <br />� <br />� <br />