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<br />• .. <br />Z 182 451 261 <br />US Postal Service <br />Receipt for Certified Mail <br />No Insurance Coverage Provided. <br />Dn not use Inr Intematinnal Mail /Sna revarsel <br />ut <br />m <br />m <br />Q <br />Q <br />G <br />O <br />s» <br />e° <br />rn <br />a <br />Sent to <br />Mark & Debbie 'Phalhamer <br />Street 8 Number <br />21000 St. Charles Road <br />Post OFrice, Stale, 8 ZIP Cade <br />Postage 8 ilp <br />Cenifed Fee / ~~ <br />Speoal Delivery Fee <br />Restdaed Delivery Fee <br />Retum Receipt Showing to <br />Wham d Dale Delivered <br />% ' <br />~ <br />Rewm Receipt S'nwng m YRum, <br />bale, 8 AdNeaee s AOCreu , <br />TOTAL Postage 8 Fees $ ~ ~ <br />r <br />Postmark w Data <br />o SENDER: <br />v •Compseta Items 7 anNwY for additional services. ~ I also Wish t0 rBCeIVe the <br />a ; .canasta Werra s, aa, and ah. following services (for an <br />° <br />° •PnM your name end address on she reverse of this bon so that we can resum INs BMra 1e0 <br />~ <br />i <br />. <br />. <br />~ wrd to you. <br />•Aaach This farm to the hoot of the mailpieca, or on she bark it space does not 1. ^ Addressee's Address • <br />u <br /> <br />° IRrmil. <br />•Wdte'gelum geceipl Requesfed'on the madpiece below the article num6ec <br />2. ^ Restdded DBIIVery v , <br />N <br />C, •The Relum Receipt will show la whom the enitle was delivered antl the dale <br />~ delivered. Consult postmaster for fee. m <br /> <br />c 3. Ar~cle Addressed to: 4a. Artlcle Number v <br />o Mark & Debbie Thalhamer Z 182 451 261 E <br />E 21000 St. Charles Road ab. service Type <br />~ PueblOr CO 81006 ^ Registered i~.Certified ~ <br /> ^ Express Mail ^ Insured ~ <br /> ^ Retum Receipt for Merchandse ^ COD ° <br />a 7. Date of Delivery <br /> 0 <br /> T <br />G 5. Received B : rir7l ame) B. Addressee's Address (Only it requested ~ <br /> / <br />/ and lee is paid) ° <br /> F .s. <br />g 6. Signatu ress 1) <br />°a. <br />° X <br />~ ~~--- <br />PS Forrn 3811..,~ect:mt(er 7994 t02595~91.8~0119 Domestic Return Receipt <br />