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<br />senuen' <br />•Camplrna itemal endor2lor etldilional serricea. <br />-- , efso Wish to receive the <br />•CompletB items 3, 4a, end 4b. f0110W1ng SBrVICes (}Oren <br />• Prim your name and adtlresa on the reverse of this form ao that we can return thin extra tee): <br />cartl to you. <br />•Adach Nis brm to the from of tM meilpiece, or on the back it space does not t , ^ AddreSS09~S Address <br />• Wn a,Rrdum Ream t R uesfed' on the mail lace bebw the article number. <br />p eq a <br />2. ^ Restricted Delivery d <br />to <br />•The Relum Receipt will show to wigm the editle was delivered end the tlale <br />daliveretl. Consult postrnaster for tee. ° <br />v <br />3. Artcle Addressed to: 4a. Article Number ai <br />WALT ISBNBART Z 130 086 607 c <br />RIT CARSON COUNTY ~ 4b. Service Type d <br />P.O <br />BO% 160 ^ Registered ^ Certified a <br />. <br />BURLINGTON <br />CO 80807 ^ Express Mail ^ Insured <br />, ^ RetumReceiptforMerchandise ^ COD <br /> 7. Date of/pelivery Q <br /> <br /> <br />5. Received By: (Print Name) R. Addressee's Address (Only i! requested ~ <br /> <br />W S and lee is paid) i <br /> F <br />6. Sipnat e: (Addressee orAAenU , <br />r X <br />~ PS F <br /> <br />O <br />li <br />N <br />a <br /> <br />_ '•Z 130 0$.6 6~J7T-~-0 <br />us Postal service ~ ~ `~ Z - ~ ~~¢ <br />Receipt for Ce.~tifiecLrn~Aail-T-fl' <br />No Insurance Coverage Provided. <br />Do not use for Infamalinnal lanil /Caa .e,.e.....r~ <br />Sent tc ~ ___ _ _ __ <br />RIT CIOISOPSI,U ~ <br />Street ii Number <br />P.O. BO% 160 <br />Post Olfiro, State, 8 ZIP Cove <br />BURLINGTON CO 80807 <br />Postage - f <br />Certified F <br />s <br /> <br /> <br />Restritletl De5very Fee t <br />Whom 8 Date De'veretl <br /> <br />Realm Raxpt Shossgb Wlom, Q <br />fD <br />eaee's ~ <br />T LP <br />s <br />~ ~ <br />( <br />D <br /> ~ <br />Pos9nerk <br /> C <br /> <br /> <br />