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• <br /> <br />Z 329 232 097 <br />a~CENED <br />MAY 2 0 tig99 <br />a~lslc.t D, ImtarJs & Geolo9Y <br />US Postal Service <br />Receipt for Certified Mail <br />No Insurance Coverage Provided. <br />Do not use for International Mail (See re <br />Pgstage <br />cerueae Fee <br />Spedal Delivery Fee <br />Restdcted Delivery Fee <br />Return Receipt Stwwing to <br />YJhom d Dam DeAvemd <br />Realm Rerspt q mtMUm, <br />ir~TA os~age 8 Fees• S <br />or Dale ' <br />J I. <br />J Nr{ l.' <br />1:,,/..; <br />:.~:.... ~ J ~.i~! OYO l~~e6.: t`. <br />~- / f~o~S6A(!A Ea <br />~~gv~~ <br />::~°~" - <br />e~ <br />o <br />° <br />SENDER: <br />I also wish to receive the follow <br />I • <br />- <br />x <br />o Complete items t anNOr 2 for atltlnional services. <br />ing services (for an extra fee): <br />H Complete items 3. aa, antl ab. <br /> ^ PriM your name and address on the reverse o7IDis 5orm so Thal we can return Isis <br /> card to you. ~. ^ Addressee's Address <br />d ^ Aeach Isis loan to the Iron) of the mailpiece. or on the back <br />erme it space tloes not <br />2. ^ Restricted Delivery <br />o p <br />. <br />^ Wnle 'Return Receipt Requested" on the mailpiece beWw t he art~Ge number. <br />~ ^ The Return Receipt will show to whom the adicle was tleLVered antl the tlate <br />c deliveretl. <br />~ 3. Anicle Addressed to: 4a. Article Number <br />a - ~ 9 3 O <br />E 4b. Service Type <br /> Mr. George Gromke ^ Registeretl ~~ 1 U y~ QSCertified <br /> <br />2025 Freedom Court ^ Express Mail ~ '(]Insured <br />z 1I` <br />R <br />MO <br />M <br />K <br />h i <br />^ <br />OD <br />~ R <br />c Grand Junction, CO 81503 r <br />ere <br />a <br />elum <br />eceip <br />se <br />G <br /> 7. Date of Del'very <br /> ~ys~ <br /> 5. R~I dd By: (P' tName) <br />~ B. Addressee's ddress (O IIy'it requested and <br />.... <br />lee is <br />aid) <br />C V <br /> Y .0 <br />~) ~: <br />~ <br />P <br />9 6. Signature A r e o ant) <br />0 <br />T <br />_N <br />PS Forrn 3811, December 1994 <br />102595 99-B-0223 Domestic Return Recei{ <br />Z <br />N <br />n <br />d <br />u <br />a <br />c <br />N <br />x <br />c <br />H <br />