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~...~' <br />~ SENDER: I also wish to receive the <br />m : ~mplete hems 1 eed/or 2lor edditigW aeMcea. <br />mpiete Items 3, b, ario 4b. IelleWl SBNifRS for an <br />r+9 <br />n • Pdm your name end adorees on the rewrae of this form ao pial we qn reerrt~ Nb extra tee): <br /> <br />~ qrd to <br />. <br />A <br />nern mia iwm to me rrom or tea rru0plece <br />or on me berg n.pace doec not <br />1. ^ Addresse9's Address <br /> , <br />pee <br />p <br />•Wme 'Rehm Rocwlpf Repueslad'm as meilplece below the eNge number 2. ^ RBStdcted DBIIVBry N <br /> . <br />• The Return Reoeipl roll lhOw b whore Ure adidB wes delMred and the Dale <br />dervered. <br />Consufl postmaster for lee. <br />1i <br />0 3. Article Addressed to: 4a. Arii cle N umber a <br />s z a ~- <br />a , 4b. Ser rica Type ~ <br />g James & Nettie Hale ^ Regstered cenlliea ~ <br /> <br />2504 North Highway 287 ^ Express Mall <br />Fort Collins CO 80524 ^ Retuln Receiptla <br />~ nara ,t nnrivnnr <br />~ 6. Sig <br />o X <br />r <br />PS Ft <br />,~S ~,L,. ~(,~ endn~erspea) <br />~. (Addressee a Agent) <br />w (.~' .C.i1.~_ <br />11, December 1994 texsssss-a-0zw Dort <br />rn <br />rn <br />Q <br />O <br />E <br />0 <br />a <br />Z 251 946 Q82 <br />US Postal Service <br />Receipt for Certified Mail <br />No Insurance Coverage Provided. <br />Do not use for lntemational Mail (See reverse) <br />James & Nettie Hale <br />2504 North Highway 287 <br />Fort Collins, CO 80524 <br />Postage $ 33 <br />Cenilied Fee Y~ <br />7 <br />Speaal Delivery Fee <br />Reslriaed Delivery Fee <br />Return Receipt Showing to <br />Wnom d Dale Delivered <br />PeNm Peery SAOwig b When, <br />Date,6 Mdiegees AOGess ,5 <br />70TALPosWge d Fees ~ .$ <br />Postmark or Qate <br />_I l~ <br />t <br />, <br />~ <br />` J <br />Insured c <br />D ~ <br />QO ~ <br />0 <br />T <br />Y <br />I = a <br />_~ ~ <br />