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9 <br />3 <br />z <br /> <br />a <br />c <br />A <br />m_ <br />~. <br />A <br />m <br />n <br />N <br />ti <br />A <br />O <br />C <br />m <br />O <br />s <br />z <br />0 <br /> <br /> <br />0 SENDER Complete ircm; I.:. and i. <br />Add your addrns is the "RETURN TO" spare oa <br />reveru. <br />1. The following service is requested (check one). <br />Show ro whom and date delivered ............2351 <br />Show ro whom, dare, & address of delivery .....45d <br />RESTRICTED DELIVERY. <br />Show to whom wd dare delivered ............85~ <br />RESTRICTED DFI.IVERY. <br />Show to whom, date, and address of delivery .. $1.05 <br />(Fees shown are in addition to postage charges and other <br />fees). <br />2. ARTICLE ADDRESSED TO: <br />Leroy Simonson <br />Rt 1 Box 116 <br />8eulah,_('0 81023 <br />3. ARTICLE DESCRIPTION: <br />REGISTERED NO. CERTIFIED NO. INSURED NO. <br />`~5'io3~ <br />(Alwayf obbin elaraetun of eddnaaN or e({artt) <br />I have recei d the a{ticle dexribed above. <br />SIGNATURE ^ Add~essce ^ Authorized agent <br />r^ <br />'rt.l~ 1- <br />f+ ~ <br />, <br />4 <br />~ rt <br />~+ <br />` <br />v <br />DATE OF DELIVERY PO MARK t' <br />/_ <br />5. ADDRESS (Complete only if raquntad) a~ <br /> a.~ <br /> w +4~. <br />6. UNABLE TO DELIVER BECAUSE: CLERK'S-.- <br /> I N <br />I <br />T <br />I <br />A L S <br /> , , -- <br />~~ <br />~~ ~ <br />r -- <br />/ l <br />~} nor. nee-o~rzo~-+se <br />U7! <br />1 <br />7t, <br />