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<br />Z 329 232 L89 <br />N <br />T <br />m <br />Q <br />C <br />O <br />f~7 <br />0 <br />LL <br />a <br />US Postal Service <br />Receipt for Certified Mail <br />No Insurance Coverage Provided. <br />Dn rud usw for InlmmKnnnl W mt rCae .e~.e.~.,.t <br />Seel lp - <br />eac Gro k <br />Strael8 Number <br />~O..A(~ <br />Post Olfice, State, 8 LP C <br />d s e <br />~ S <br />Postage \ <br />Cerdfied Fee <br />Spedal Delivery Fee <br />Restdded Delivery Fee <br />Retum Receipt StWwin N, <br />Whom3Dale DeG d;~l <br />i ~ <br />ReCm peceq 9gYr15~ <br />l3d@, d Addressees ~v <br />~'~' <br />TOTAL PostaQ~ 8 Fees= y <br />Pastrnark orD `~ `- ~ ~ <br />t 0 ° e~. <br />t'•° ' \ _ <br />... .~:~,`. ~> ~. ~~. o .. <br /> <br />m <br />c <br />SENDER: <br />I also wish to receive the tollow- <br />n ^ Complete items t anNOr 2 for atldnional services. ing services (fOr an e%lra leei: <br />N Complete items 3, 6a, and 4b. <br /> ^ Pnnt yo Ur name and address on the reverse of This lone 6o Ihal we can return This <br />1 <br />' 0 <br />° <br /> card to you. , ~ Addressee <br />s Addre55 - <br />m ^ Attach this form Ip the Iron) of the meilpiec¢, or on the Dack <br />ennil d space does not <br />2. O Restricted Delivery <br />m p <br />. <br />^ Wnle 'Rerum Receip( Repuesfetl'on the mailpiece below t <br />he aretle number. y <br />C ^The Relum Receipt will show Ip wTOm the arDGe was delivered and the tlate d <br />p dellVered. V <br />m 3. Article Addressed to'. 4a. Article Number <br /> (jam' <br />a ~ v <br />E 4b. Service Type d <br /> Mr <br />George Gromke ~ i~gi~Wra~iC Tf(Certified c <br /> . <br />2025 Freedom Court ~xP`~~Mair'L ^Insured <br />1 <br />~ <br /> <br />Grand Junction <br />CO 81503 <br />~ , <br />fleto eceipt for Merchandise ^COD <br />c , 7. Dat o elivery ~ <br /> 1999 `?. <br /> 5. R eiv B ~ int Name) } ~ Addressee's Address (Only if requested and <br />Q~ <br />d <br />~ c <br />t <br /> '~"Yh Ys I <br />r <br />~ <br /> <br />~ 6. r ss or Agent) <br />0 <br />a <br />n <br />PS Form 3811, December 1994 102595-998-0223 Domestic Return Receipt <br />