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a-c - l`~~ ~ ~~ <br />d <br />h <br />d <br />i <br />c <br />O <br />Y <br />d <br />n <br />E <br />O <br />u <br />•Cemplete items 1 enNOr 2 for sddilional services. I also WISh t0 rBCQIVB thB <br />•Complele items 3.49, and 4b. }dllOWing sBNICea (fof an <br />• print your n9me and eddrBe6 an Ne reverse or this lone so that we can relum this B%tra feB): <br />rard to you. <br />•A9ach this form to the hom of the meilpiece, or on the oack if space does nol <br />i 1, ^ Addressee's Address <br />perm <br />t. <br />•Wdte'Fetum Receipt Requested'on the mailpiece below the snide number. <br />2. ^ RBStdMBd DBlivery Y <br />y <br />•The Retum Receipt will snow to whom the anitle wes delivered antl the dale <br /> <br />delivered. <br />Consult postrnaster for fee. a <br />- <br />e AddrBeeed to: <br />Kurt & Anna Perse <br />1425 Siloam Road <br />Pueblo, CO. 81005-9219 <br />/''' /~i7i7CL /"G rSL'. <br />yyoat r . (Ad~essee or Age ) <br />X - .LG~~nti.. ~2°~~ <br />Fenn$ 11, December 1994 <br /> v <br />4a. Artt <br />cle Number <br />_ <br />P 580 055 297 <br /> <br />4b. Service Type <br />Y <br />^ Registered ~ Certified <br /> <br />^ Express Mail ^ Insured m <br />5 <br /> <br />^ Retum Receipt for Merchandise ^ COD a <br />7. Date of Delive f <br />/o~~-~~ ' <br />T <br /> <br />8. Addressee's Address (Only it requested ~ <br />and !ee is paid) r <br /> F <br />rn <br /> <br />