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i <br /> toENDER: I also wish to receive the <br /> •Complete items 1 andtor z toiatlQNpneV eervicw. <br /> e -Complete items 3.4a,and 4N following services(for an <br /> •Print your name and address on the reverse of this form so that we can return this extra fee): <br /> card to you. <br /> -Attach this bnn to the front of the mailpiace,or an the back if spare does not 1. ❑ Addressee's Address <br /> eW n e'Aetum Racei r Requested*on the mai ece below the article nUMbff. e <br /> e p eq P 2. <] Restricted Delivery m <br /> t *The Return Receipt will show to whom the article was delivered eM the date a <br /> e delivered. Consult postmaster for fee. � <br /> 3.Article Addressed to: 4a. lrbcla TJi Ntr"7r 201 <br /> Mr Earl Bennett <br /> a 4b.Service Type <br /> E Bennetts Rock and Wood <br /> 1470 Hwy 50 ❑ Registered XU Certified a <br /> Delta CO 81416 ❑ Express Mail ❑ Insured <br /> ❑ Return Receipt for Merchandise ❑ COD <br /> 7,Date of Delivery <br /> a <br /> C— i <br /> 5.R ived By: (Pont Nam 8.Ad ssee' re my if requested <br /> tLU' p and fee is paid) i <br /> 6.Signature:(AgOressee or Agent) <br /> o X <br /> 0 <br /> e <br /> Ps Form 3811,December 1994 Domestic Return Receipt <br /> E07,Q9 O. ;ssua4 'SlZ 'w!i 'uewIs4SCLCl-E)WQ <br /> P5F <br /> 0 <br /> OF ✓n a a v m <br /> v u1 <br /> 0 c <br /> 2 2. al7 8i W# > > V <br /> e,9 33 a $ 8 � 7VgcNr°n <br /> rtS Sm m 2 9-5 9 o—m �m <br /> a <br /> a C •' � ago� m < � m ..a <br /> q r0� 8 v In n <br /> � e 00� oCis Fig <br /> rm ' � <br /> H <br /> 9666 Bb rn rrtt n a <br /> yIL <br /> � ru <br /> m <br /> m <br /> t <br /> l- <br />