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SENDER: <br />• Complsie itama 1 and/or Z for addilipnal asrvkea. <br />• Compble items 3, and ee & b. <br />y • Print ypur name end eddreaa on the reveres of thi• form ao [het we can <br />rd return this card to you. <br />~ • Atteeh Chia form to the front of tho meilpiece, ar on the beck if apace <br />~ does not Dermit. <br />• Wdta"Return Receipt Requested"on dN meilpieca bebwtha article numbs <br />• TM Return Receipt will show to whom the article wee delivered end the det <br />C delivered. <br />° 3. Article Atldressed te: 4a. A <br />O <br />~ - - -- <br />I also wish to receive the <br />following services (for an extra Y <br />feel: Z <br />1. ^ Addressee's Addreas y° <br />2. ^ Restricted Delivery S <br /> MR CLAYTON "SWEDE" JOHNSON 4b. Service Typ <br />e <br />° CHRISMAN, BYN17M & JOHNSON ^ Registered <br />vi 1401 WALNUT STREET ^ Certified <br />W <br />s <br />BOULDER CO 80303 ^ Express Meil <br />and fee is paid) <br />o _. _.o .-~ iaou.r~.. ~ <br />PS Form scember 91 ,r U.S.G.P.O.: 1gD2•so7-53e DOMESTIC <br />~- ~ P 88' 734 014 <br />C~ I <br />'f'ed M 'I Recei t <br />N <br />Q ~ <br />4 jy <br />Q <br />0 <br />d <br />C <br />C <br />Q <br />P <br />f <br />u <br />c <br />C•ertl t at p <br />No Insurance Coverage Provide <br />r• Do not use for International MallO <br />(See Reverse) <br />PIIt CLAYTON ``SWEDE" JOHNSON) <br />,CHRISMAN, BYNUM 6 JOHNSON _ <br />1401 WALNUT STREET c~ <br />(BOULDER CO 80303 <br />Ppsmge <br /> r ~. <br />Cenieed Rea ~~ <br />~, <br />" acial Delivery Fee ~~ <br />Li '(~ <br />~.:`~ V <br />Realdaed Delhary Fee •~ ~~ ~, ~ <br /> C <br />Return Receipt Shordng ``~ i <br />to Wfgm 6 Date Dalhere0 ~ <br />Return Receipt Showing ro Whom, <br />Dme, a Pddress of Delnary <br />IOTA( POSiage ~ ~Z ~ <br />6 Feea <br /> <br />'~ Poalmark or Dale <br />1 r <br />r <br />C <br />G <br />• <br />^ Insured J <br />^ COD .G <br />^ Return Receipt for ~ <br />0 <br />T <br />Y <br />C <br />m <br />t <br />r <br />