Laserfiche WebLink
<br />rn <br />a <br />Q <br />O <br />m <br />li <br />a <br /> <br />Z 182 451 257 <br />US Postal Service <br />Receipt for Certified Mail <br />No Insurance Coverage Provided. <br />Do not use for Intemalional Mail ISee reverse) <br /> <br />SENDER: I also wish to receive the <br />• Complete items 1 and/or 2 for atltlitional services <br />• Complete items 3, 4a, and 4D. IOIOwing services (for an <br />• Print your name and atldress on the reverse of this form so That we can return this extra fee): <br />wrtl to you <br />A <br />tlach this loan [o the Iront of the mailpiece, or on the back it space tloes not <br />• <br />7. ^ Addressee's Address ~ <br />p <br />p <br />• Wentet'Rerom Receipt Requesred'on the maepiece Delow the article number. 2. ^ Reslrioted Del~rvery N <br />• Tfie Relum Receipt will show to whom the arode was tlehveretl and IDe dale Consult ostmaster for fee <br />P a <br /> <br />delivered. . <br />\rticle Addressetl to: <br />Fred Lowry 4 Jerald Seif <br />P.O. Box 305 <br />Westcliffe, CO 81212 <br />5. <br />PS Form 3811, December 1994 <br />4a. <br />~n1oFred Lowry & <br />Street d Number <br />.0. Box 305 <br />Post Office, Slate, 8 ZIP Cade <br />estcl' <br />Postage a ~~ <br />Cer6ried Fee (~~ <br />Spedal Delivery Fee <br />Restricted Delivery Fee <br />Relum Receipt SMrnny to <br />Wham SDate Delivered " <br />i-"'- <br />Relum RSe9t Sroxig m Wlnm, <br />bale, B Mdretsee's Adtr r. NCO <br />~ 5 <br />TOTAL Po _ ~d Fees a ' ~~ <br />Posonarko at1\\~~JJ <br />. ~JJJ _ 2 <br />SPS <br /> <br />- Z 182 451 257 <br /> <br />4b. Service Type c, <br />~ . <br />^ Registered ~Cedified <br />- <br />~ <br />^ Express Mail ,~.;; ~^ Insured m <br />~ <br />^ Return Receipt br Merchandise `.^ COD ~ <br />7. Date of Delivery ~-, ~. ~~ <br />i-i 1 ~l ~-~~~ F <br />~ <br />'~l ~J~ i I O <br />8. Addressee's Address (Only i requested <br />\ <br />a ,Y <br />and lee is p <br />id) <br />/ m <br />•\- r <br />102595~9a~e-0229 Domestic Return Receipt <br />