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Z <br />4b. Service Type <br />^ Registered ^ Insured <br />® Certified ^ COD <br />^ Express Mail ^ Return Receipt for <br />Merchandise <br />7. Daie~of Delivery ;. <br />~'. . <br />(Only if requested <br />e U.B. GPO: [B9[-787-088 <br />LPR <br />C-80-006 P g60 170 862 <br />NOV 92-11 <br />~Cee4i4ied fail 6~~ceiiO~ <br />No Inswance Covefage Protided <br />L Do not use for International Meil <br />~' (See Reverse) <br />rJo~ cv-qz-oil <br />I~i~D~cfed ~,~h ~ P~6~0.~ <br />• Complete items ientl/or 2 for edtlitionel services. I 8150 Wish t0 receive the <br />• Complete items 3. entl ae 6 b. following services Ifor an extra <br />• Print your name end etldrees on the reverse of this form so that we can fe01: <br />return this cartl tp you. <br />• Anech thle form to the Iront of the meilpiece, pr on the beck if apace 1 . ^ Addressee~5 Address <br />dose no[ permit. <br />• Write"Return Receipt Requested"on the meilpiece below the article number. 2 ^ Restricted DElivery <br />• The Return Receipt Fee will provitle you the signature of the parson tlelivre <br />to end the date of Oelrvary. Consult OStmeSter }Or }ee. <br />3. Article Addressed to: 4a. Article Number <br />KERR COAL CO <br />PO BOX 487 <br />WALDEN CO 80480 <br />-. 7 <br />// t <br />5.'Si tur ( res~ <br />Signature (Assort <br />1 <br />.3Y <br />~Ii <br />r <br />CAD <br />E <br />E_ <br />Q) T <br />L Q' <br />US m <br />~ ~ <br />r ~ <br />fe9 Ci <br />r O <br />r <br />l M <br />E <br />y <br />a <br />Sam m <br />Kerr Coal Co. <br />Street a N0. <br />P.O. Box 487 <br />Po.. stt. a zIP code <br />Walden, CO 80 480 <br />Postage <br />Cenisetl Feo <br />spearu Denwry Fee <br />Reetncted Delivery Fes <br />Return Receipt Showing <br />1o Whom a Dere pelNeretl <br />Return 9eaeiptshowing ro Whom. <br />Date, a Atltlreae 01 Delivery <br />,Dt~b Postage Sa <br />d Fees ~ . <br />f'pst ark or Dere <br />\ <br />\ _ , <br />t\ <br />~_ <br />RECEIPT <br />