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, :CIVUCFI: t 8150 reC¢IVe She <br />Ccmplele iterru t and/or adtlitanel xrvicae. <br />t • Comviete gems a, ae, end 4b. <br />following rvices (for an <br />t a Pdrt1 your name end eddr65e on die reverse o11NS form eo Ihet we can return Nla <br />I extra fee): <br />UId to Ou. <br />. Aaadr this roan to the hoot a the mellplece, or on the bade N <br />r <br />it <br />apace des nd <br />1. ~ Addfessee'S.AddresS <br /> <br />t= <br />m <br />. <br />i pe <br />• Wme 'Rehm Reae/pf Regueafed'on the mellplece helrM dreaiude rtu tDer. 2. ^ RBStricted DBIIVery A <br />i <br />• The Relum Receipt will show to whom the snide wee delivered eM dte date <br />delivered. <br />COnSlllt pOStmaster IOr fee. I <br />_a <br />i 3. Article Addressed to: 4a. Article Number <br />, <br />t <br />' <br />i ~!L Gr•G <br /> <br />2 ~ 5i 9 a <br />~ <br />Calvin & Barbara Dyer 4t. Service Type <br />~ ~ <br />° <br />i ~ Registered <br />ertified ~ <br />2324 North Highway 287 ^ Express Mall o Insured ~ <br /> <br />Fort Collins, CO 80524 ^ ReNm Receipt for Merdlandise ^ COD <br /> 7. Date of D¢11/0~ery j //7 <br />~~ 0 <br /> 1 <br />/ / <br />5. R <br />eived By: (Prjntl!(ame) R. Addre~ Address (Only i( equesfrad Y <br />~ <br />r ~/~/,P ~~' end lee is paid) <br />6. Signatu (Addresses o~~enp <br />i <br />X ~ ~ i~ i` <br />! PS Farm 3871, December 1 94 t~~~-e'~ Domestic Return Receipt <br />N <br />m <br />m <br />Q <br />a <br />O <br />m <br />lL <br />4 <br />Z 251 946 17P~^ <br />US Postal Service <br />Receipt for Certified Mail <br />No Insurance Coverage Provided. <br />Dn not usa Inr IntemaliOna Mail (See leVBrSe) <br />~ Calvin & Barbara Dyer <br />S'r' 2324 North Highway 287 <br />P05 Fort Collins, CO 80524 <br />Postage $ n <br />Certified Fee ~l <br />Spedal Delivery Fee <br />Restricted Delivery Fee ~ <br />Return Recept Showing to <br />N9rorn 8 DatySleGmred <br />Realm ReceglShbiktg to <br />s ~ <br />Slwdre4~ <br />Dab Id /' <br />TQ ~P ~~ 8 Fees ` '~•~ <br />P shhark or D ` ,a 1 <br />~ \ _~~ <br />/ <br />i \ , ~ <br />% ~ <br /> <br />1 <br />~) <br /> <br /> <br />