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SENDER: <br />• Complete items 1 anNor 21or atltl~lional services. <br />• Complete items 3, ee, antl 4b. <br />• Print your name and address on the reverse of this form so Nel we can velum Ih~s <br />Gartl 10 Ou. <br />• this Corm to the front of the meilpiece, or on the back it space does not <br />• 1Mr~'Felum Receipr.Requesletl'on the mailpiece below the enicle number. <br />• TA9'Return Receipt will show to whom the snide was tlelivered arM the dale <br />dMiveretl. <br />3. Article Addressed to: 4a. Anicle <br />~ Mr. John L.ohr ~. Sel~~io <br />I also wish to receive the <br />following services (tor an <br />extra fee): <br />1. ^ Addressee's Address 8 <br />2. ^ Restricted Delivery <br /> ~ <br />Consult postmaster for tee. <br />Number Y <br />2 12~ 590 <br />c <br />Southdown, Inc. ^ Registered <br />5134 Ute Hwy. <br />" Lyons. C0 80540 ^ Express Mail <br />_ ^ Return Receipt for.Merchandise <br />7. Date of Delivery <br />5. Received By: (Prior Name) B. Addressee's Address (Only <br />and lee is paid) <br />6. Signature: (Addressee or Agentor Agent~^DC~ <br />5 X <br />' > PS Form X17, December 1984 taesasa-%rtao Domas~iC Rel <br />c-> Z 192 124 590 <br />NUS Postal Service <br /> <br /> <br />Receipt for Certified Mail <br />No Insurance Coverage Pra+ided. <br />Do not use for International Mail See reverse <br />Sent to Mr. John Lohr <br />Southdown. loc. <br />~~ 6 ~~ 5134 Ute Hwy. <br />p~~ Lyons. CO 80510 <br />Postage S ~- <br />Certified Fee ti.~ ~ \ <br />Spedal DelNery Fee W <br />~ <br />y <br />ibelrlaetl Deivery Fee ~~ <br />rr1tnn <br />C1"JU <br />Return Harsipl Sliowitg to ,Z^y-r <br />YVltan 6 Date Defvered <br />1kWm Reuel9p•rgbWkm, <br />Oete, B Mhnsea's Address <br />TOTAL Postage 8 Fees S ~ 2.0 <br /> <br />Possnark or Date <br />w° <br />U <br />` <br />C <br />~ <br />~- <br />'V <br />E <br />= <br />y <br />S <br />_ . _ _ _ -_ <br />3 <br />~ Certified <br />^ Insured gr <br />^ COD ~ <br />T ~ <br />m <br />~ ~ <br />3 <br />1 <br />r <br />N <br />Or <br />00 <br />0 <br />requested Y <br />c <br />a <br />t <br />f <br />