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<br />m <br />m <br />m <br />Q <br />Q <br />O <br />m <br />ev7 <br />i= <br />I1 <br />y <br />o. <br />P 239 382 275 <br />uS Postal service Box 4 71 <br />Receipt for Certified Mail <br />No Insurance Coverege Provided. <br />An nnf uew Inr Intwmadnnal Mail /See reverse) <br />Sem to <br />*"r Clifford Wa e <br />Street 8 Number <br />72019 Count Road B <br />Post Office, State, t4 ZIP Code <br />Manzanola CO 81058 <br /> a .7 <br />Cued Fee 1 , (1 <br />Spedal Delivers Fee <br />Resbided DeGvary Fee <br />Rehm Receipt Showing to <br />Whom 8 Dele Derwemd ~ T <br />Realm Retegt Shewig m Wham, <br />Date. B Idhrsseek Addnsa <br />TOTAL Posfege 8 Fees ,~ D Q 8 <br />Posbnadc or Dete '.~. <br />~ <br />~ .~ <br />C <br /> <br />°' SENDER: <br />S 'Complete items 1 and'or 2 for adtlilional eerVlC9a. I also WISh f0 reCBIVe the <br />0 'Complete ~tem9 3, 4a, entl 4b. tOIIOWIng SBNICBS (fOf eft <br />~ l; orou ems and eddraaa an the revere of this farm eo that we can velum this <br />•~ n extra fee): ai <br /> d <br />•Aeach this brm to the hom of the mailpiece, dr on the beck if apace daee not t, ~ Addfe5506~5 Addr055 ~ <br />Z <br />~ <br />y pemnl. <br />•Wnte'Aelum Receipt Requested' on the mailpiece below the enicle number. Q. ^ Restricted DellVary y <br />~ 'The Relum Receipt will show to whom the artige was tleevered erttl me date <br />~ delivered. Consult postmaster for fee. ~ <br /> <br />v 3. Article Addressed to: 4a. Article Number <br /> <br />a M,-. Clifford Walter P 239382275 Y. <br />E 12019 County Road B ab. service Type d <br />~ Manzanola ('O 81058 ^ Registered (:}(Certified ~ <br />h <br />^ Express Mail ^ Insured c <br />.~ <br /> ^ Retum R ~ ~p COD <br />°a RP: Caldwell/NeGselhuf ~. Dareo ~ ~'p ~o <br /> r <br />~ 5. Received By: (Pdnf Name) 6. Addr sse d ( eq esfed ~ ' <br />yr and f is paid) "'r+r L <br /> ~ <br />~ 6. SignaN e: (A esse orA err) G~~' <br />B' <br />a X ~~ S <br />A <br />05 <br /> ` <br />1 <br />PS Form 3d`ti, December tssa Domestic Return Receipt <br />