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<br /> <br />N <br />OI <br />m <br />.Q <br />Q <br />C <br />c+l <br />a <br />Z 443 190 2~3 <br />US Postal Service <br />Receipt for Certified Mail <br />No Insurance Coverage Provided. <br />Iln nn! um lnr Inlwmannnal Mail LSww muwrswl <br />Sant to <br />rn~, L~n~ ,v~tU.E~ <br />Slmet 8 Number ~ <br />O =N7.i.f~c.r.t4rti7r Vfc. <br />Post gfica, State, d ZIP Code <br />C.o and JOS <br />Postage $ . 3 <br />Ceded Fee ~ ~ ~ Q <br />Spedal Delivery Fea <br />Rrstrided Delivery Fee <br />Retum Receipt Showing to <br />Whom 8 Dale Delivered <br />! • ZS <br />Realm Recut 9vxip m Vylgn, <br />DMa, 61Wm'eseei Adtlless <br />TOTAL Postage 8 Fees $ ~, ,90 <br />Postrnark or Data <br />LP 13 /~~ w NE <br /> <br /> <br />ar',i'.'': Sri'. ^.,. r ,.rt~ <br />~ ..r..~ <br />StIVUthf: _ I also wish to receive the follow- <br />^Complete items t anNpr 2 for addeional services. ~ ing Servide5 (for en e%tfa lee): <br />Complete items 3, 4a, antl ab. <br />^ Print your name antl atldreea On Ine reverse pl Ihis form sp Ihal we can return This <br />taro to you ~ ~ - 1. ^ Addressee's Address <br />^ Anach Ihis lone tp the Iron) of Iha mailpiece, or on the bars d space does not <br />2 <br />permit. ~ ^ Restricted Delivery <br />o Wnle 'Return Receipt Requestetl'on Ine mailpiece below the article number. <br />p The Return Receipt will show to whom Ine aNCle was delivemtl antl Ine Oale <br />Mr. Glen Miller <br />1048 Independent Ave, A-106 <br />Grand Junction, CO 81505 <br />or <br />Z ~-r43 f4a 2(03 <br />4b. Service Type <br />^ Registered Certified <br />^ Express Mail ^ Insured <br />[],Rem Receipt for Merchandise ^ COD <br />lee IS P31d~ <br />0 <br />i! <br />y <br />n <br />d <br />u <br />m <br />2 <br />a <br />N <br />0 <br />0 <br />T <br />Y <br />C <br />m <br />F <br />PS Form 3811, December 1994 102595~99~8-0223 <br />