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<br />~I m • <br />v SENDER: .-t:-::,=~+~.;:: <br />•p CortlplepgMme 1 entl/or 2lor adtlidpoel urvlcee. I e140 Wleh,~t0 grObBIYB <br />m • Complsq~eeme 3, end W S D. ~ following 80ivlces If0 e <br />~ • Print youi nsme end eddrese on the revere of thla }ortn eo [het we can <br />f0B1: <br />~ mtum thli cord to you. -`' ~ ~ ~- ~= ~ ~. <br />I " does not D rtnk.~ to the Iron[ of thB mellpiece, or on the beck If ep•ce 1. ^ Addressee's Addre <br />I Y • Wdte"flstum aecelpt aerueeted"on the meilpiece below the eNcle number. 2 ^ ReetrlCted DBIIVBry <br />• • i • The Retum aecalpt will show to whom the enicle wee delivered end the date <br />e dellured. l:Onetllt ostmaster for tee. <br />I m 3. Article Addressed to: 4a. Article Number <br />' ~ m Larry & Sharon Adcock 2 037 350 540 .' <br />13 ~'~.' ~ - - `~• 4b..Service Type ~~ ~ ~ - <br />E `.~_a ~ .S. iHighwa~;:-,285 Q egistergC, Q ns0~ <br />I w ~A~afiiosa,,~Co. 81101 "~-~bttified,_ <br />W '~' ~'~ : is 'r! .. t , <br />I ¢ "[~;€xPreee Meil ^'Fetum~ .Ipt <br />G ~ ~7S.-Date of Delivery ~~-">`::~, ''"~ <br />Q ~. ... <br />5. Slgneture (Addressee) 8. Adtlressea'e Address (Only it requ <br />~ end fee is paid) ,' _ <br />6. Signatute.lAgentl ~ F'. ~ 5 <br />l ``:. <br />> .,. <br />~ a PS Fo -,j;~ce~99~~7 aua..oPOa DOMESTIC T EC <br />. ... "... -:!G .~ . <br />L J <br />nl <br />'~ I <br />..~ ~. . <br />E ~ _: <br />ml <br />~" ~ I -' <br />I <br /> <br />