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<br />m SENDER; I also wish to receive the <br />O <br />m • Complete Ilemt + endor 2 ror edtfllbrlal eelNcee. <br />• Complete eenta 3, de, antl 4b. following services (for en <br />Q e Pnnl your name and etldresc on the reveroe of fhb lonn so Ihel <br />Cald lO <br />W we can relum this extfe fee): <br />E(( <br />w . <br />y <br />e Heath Nis form ro me front of ttre mallpiece, or on Na beck M space does not 1. ^ Adtlressee's Address 1 <br /> yBmra. <br />.Write 'Rehm Receipt Requesfed'on Ne mellpleca below Ina aNde number, 2. ^ Restricted Relive <br />ry Z <br />rR <br /> ~dallve e~m Receip+mll show +o whom Ne erode was delivered end Ne date Consult postmaster for tee. 1'y <br />rd 3. Article Atltlressetl to: 4e. Article Number ~ - <br /> <br />~ <br />~ <br />Y 7LYb I 7 7 <br /> yf,~ <br />I~e Service Type <br />4b ; <br /> <br />E n n /~ <br />t <br />Cc!' `O)~y <br />")~r <br />O <br />~- <br />V~~U7y (~~ <br />{ <br />l . <br />^ Registered ^ Certified _ <br /> _. <br />.7 <br />l <br />~ <br />I <br />t- <br />~ <br />5'13 I IS~ l.e ~ ~ ~r ~~ ' -r ^ Bxpress Meil ^ Insured ~ • <br /> ^ Retum Receipt fw Merchandise ^ COD ~ <br /> ~„ 1, ^ .^ ~^O ~~ ~(~ 1 <br />C.icx.Y <br />cJ / 7. Date of Delivery ~ . <br /> 1 .~ g,/ _ ~ a <br /> 5. Received By: (Print Name) 8. Addressee's Address (Only i/ requested Y <br /> end lee is paid) a <br />€ <br /> •5. Signature: (Addressee or Agent - <br />i. X , <br />-^ PS Form 3871, December 1994 +gzsssee-e-0sza Domestic Return Receipt , <br />m <br />M1 <br />~ ~MG•13t3 Sherman, Rm. 215, Qenver, CO 88203 <br />.~ <br />~ Postage S <br /> <br />~ <br />~ Certeieo Fee I ~ <br /> PpslmarN <br />~ ReWrn Receipt Fee <br />(Endorsement Regmmdl y <br />l O a \ Het <br />O <br />[~ <br />p RaStncted Delivery Fee <br />(Entlorsemenl Regmretl) y,~ <br />I q <br />.\ <br />IS <br />~ Total Poatege 8 Fees $ I ~ I ~ r o 'n <br />N <br />'n Recipient's eme (Please P' fCean~ mp c plere ai r) <br />r-R y~ ~ <br />weer. ,~ -- - - <br />0 5731 "° Or ox Nq_ ~'~ ~r7 <br />- ...l....5-~. t`4' h~ <br />O ~ late, Zlvia ...... ...~ . ............... . <br />I/ Yt ~YYC"' .......... <br />M1 m1~... ~'.n 1l_llr <br />