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•romplete items 1 anNor 2 for addidonal aervioee. 18150 Wish t0 rBCeiVO the <br />•Complele items 3.4a, and a0. fOllOwing SBNiCee (for en <br />.Prim your name end address on Ne reverse of Ines form so tl1e1 we can refum Ihls BXIre fee): <br />.card lu,YOU. ~~.~~: <br />.Mato this lone to the hoot or the mailpiece, or on the Deck A space does not t, ^ Addressee's Address <br />• Wn 01'flelum Feceipr Regrreared'On the meilpiece below the adicle number, 2, ^ RBStricted DBIIVBry <X <br />•Tr1B Fetum Neceipl will show to whom dre adide was delivered and the date <br /> <br />delivered. <br />Consult postrnaster for (ee. n <br />_ <br />PAMELA WEDIGE <br />FIRST BENTONITE CO OF COLD <br />215 TELLER <br />SALIDA, CD 81201 <br /> <br />:. X <br />or <br /> <br />4a. Article Number u <br />~ <br /> <br />Z 130 086 751 ~ <br />4b. Service Type ~ <br />4 <br />^ Registered ^ Certified ~ <br />^ Express Mail ^ Insured 5 <br /> <br />^ Retum Receipt for Merchantlisa ^ COD m <br />7. Date of Delive <br /> 0 <br /> a <br />B. Atldre 's ddress Only rf requested ~ <br />and lee is pad) L <br /> ~- <br />PS Fonn 3871, December 1994 <br />z. 13a. o~~e~s.~-,.-,~. <br />US Postal Service ~L~ <br />Receipt for Certified Mail ~ <br />No Insurance Coverage Provided. <br />Posmge - S <br />~' <br />OF <br />3 <br />_N <br />Ur <br />v <br />m <br />m <br />n <br />0 <br />