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., .= <br />// <br /> <br />~) <br />v SEND <br />ER <br /> ~ <br />e~ t enalor s ~ ~~ ea,xo• <br />Ca I slap wish to rscelve the <br />e • <br />nplate Ilene 3. ~a, erN ab- fOtlOyiing t1aMCBa (rot en <br /> •Prim your name end eddrep on the mane of sae brm w sun we can velum title 61(tra }6e <br />~ <br /> <br />e aeN to you. <br />•Anadl tlda ronn to ar hoot ofttw nudlpleoe, a on the bark rc yeas doe• not <br />1. O Addressee's Address :i <br />2 <br />e •WriteWeAUmReaelpfRepueNed'ontfrmdlPSVbebwMegradenum~~r. 2. ^ RespictedDBliVery Jj <br /> •The Relum gecelq wfA etww to wlnm tM eNde was daavarad end Ina date ~L <br />o drwered. ConaWt postmaster ror fee. <br /> <br />v <br />3. Article Addressed ro: <br />4a. Article Number fi <br />Q~ <br />~° TPY ~augt>~r Z 291 677 468 E <br />E <br />~ Ia Plata Count Plannin qty, <br />Y g ~. Service Type <br /> ^ Registered LY Certlfled <br /> 1060 E. 2nd Ave. ^ t.xpress Mail p Insured ~l <br /> Durango, CD 81301 ~ Rtaum Receipt for Mertltartdse O COD <br /> 7. Date of Delivery S <br /> i <br /> _ . <br /> 5. Received By. (Print Name) 8. Addressee's Address (O Il requested ~ <br /> errd lee is paid) <br />g 6.Signa ~(A eorAgenf <br />T X <br />el <br />I's Form 3811, December to ~ <br />Domestic Retum Receipt <br />