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U.S. Postal Serviee <br />CERTIFIED MAIL RECEIPT <br />(Domestic Mail Only; No Insurance Coverage Provided) <br /> <br />o-' <br />~ <br />m Albert F. Grimm <br />- - <br /> <br /> <br />- <br />~.3 , .\ <br /> <br />~ <br />u <br />1 <br />-' Postage 5 !i ~ ! ^. <br />\ <br />0 /~ C~ ~ ~ <br />IU Certdied Fee . <br /> <br />~- <br />Return Receipt Fee <br />(Entlorsement RequireGl 7~.~ <br />~ <br />-7 Postman <br />Here <br />~ r <br />~ <br />O Restnctetl DeLvery Fee <br />i <br />d -~ <br />.~fJC ~ <br /> (Entlorsemen[Requ <br />n: <br />l - <br />p Total Postaes 8 Fees ~ ~ ~~ <br />f1J <br />fU Name (Please Prlnr Llearly) (TO be cemplerad Dy mailer) <br />m <br />....Albert..F.....Gr.7.inm...°-°- .........................°------------...- <br />~ Sfroer, Apr. No.; or PO Box No. <br />o ..3IIO.75..Je~te.1-.Avenue...---°------------------ ............... <br />r- Clty Sfafe, Z/P} 4 <br />2 <br />:rr <br />d <br />v <br />SENDER: <br />I also wish to receive the tollow- <br />n ^ complete hems t anaor 210. addmonal services. ing services (for an extra lee): <br />a Complete items 3, <a. and 4b <br /> ^ Print your name antl address on the reverse of this forth so Thal we can return this <br />~ card to you. 1. ^ Addressee's Address <br />m ^ ARach this lomr to IDe Iron) of the madpiece, or on the back it spate tloes not <br />ermit <br />- <br />2. ~ Restricted Delivery <br />m . <br />p <br />^ Wnle 'Relum Rece~pr Requested'on the matlpieca below the addle number. <br />~ ^ The Return Receipt wiil show Iq whom Ne aR¢le was deliveretl and the tlale <br />o delivered <br />v <br />d 3. Article Addressed to: 4a. Ankle Number <br />a Albert F. Grimm 7099 3220 0004 2695 3894 <br />c 30075 Jewel Ave 4b. Service Type <br />w Watkins CO 80137-8632 ^ Registered ~1Gertitied <br />w ' ^ Express Mail ^ Insured <br />¢ ^ Retum Reccipl for Merchantlise ~ COD <br />O <br />a - 7 Date of Delivery <br />~~r e~yr-MM ~~ ~.~1 <br />~ 5. Re i I By:IPdn arr~e) 8 Addressee's Adtlress (Only i! requested and <br />~ ~ lee Is paid) <br />5 6. igna ure (Addressee or Agent) <br />0 <br />T <br />N <br />I <br />d <br />N <br />n~ <br />m' <br />u <br />a <br />c <br />N_ <br />O <br />0 <br />T <br />x <br />t <br />r <br />PS Form 3811, December 199a r0259599~B~022a <br />