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scr~urcn: <br />•Complela items 1 anNar 2 far eddieorW services. I also wish to receivB the <br />- <br />eComplale items 3, 4a, and 4b. fDIIOWIng serVlCeS (fOr en <br />n <br />t; orou ame and atldress on the reverse of this form so that we can return this <br />•~ extra fee): <br />d <br />r ai <br />u <br />• Attach this lone to the hoM of the malpiace, or on the 6atlc it 6pece does nm <br />i t , ^ AddreSSee'e AddreSS <br />pem <br />l. <br />• Wdle'Relum Receipt Requesred'an the mailpiece below the article number. <br />Q, ^ RB5ldcted DBlivery ~ <br />y <br />eThe Return Receipt will show to whom the anitle was delivered end the date <br /> <br />deinarea. <br />Consult postmaster for fee. ii <br />.~ <br />to; <br />JAMES ?. TREAT <br />225 G STREET <br />SALIDA CO 81201 <br />4a. Article Number w <br /> <br />1Q1 517 223 ~ <br />4b. Service Type <br />m <br />^ Registered ^ Certified • ~ <br />^ Express Mail ^ Insured 5 <br /> <br />^ Return Receipt for Merchandise ^ COD m <br />7. Date,of Delive <br />~~~~ <br />CI f <br />- r <br />B. Addressee's Address (Only i/requested ~ <br />and lee is paid) t <br /> <br />X •~~~ V A-~Q ~ <br />PS Form 3811, December 1994 <br />• ~ 1 ~e~~17" 2 2 <br />us Postal servic¢ile # x~- --a4-1--~ <br />Receipt for Certified Mail 1 <br />No Insurance Coverage Provided. w <br />Do nor usw mr r~ro.o~e......r .._.~ ,..__ -_.. j <br />Postage I a <br />Fee <br />N <br />Restdded Delivery Fee ~ <br />N <br />m Return Recept Shoevtp M ~ <br />e <br />_ Whom d Date DeGrerad c <br />p <br />n Ream RepegtSMri4mtNvm ~ <br />Dace, 8 MdatseeY A6lress n <br />O~ TOTAL Postage 6 Fees S <br />Posbnark ar Date ~ <br /> <br />r° N <br />O <br />rn W <br />