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9 <br />fn <br />T <br />O <br />3 <br />r <br />r <br />e <br />b <br />m <br />u <br />• SENDER: Complete items 1, Z, 3 and 4. <br />Pu[ vour atltlress in the "RETURN TO" space on the <br />reverse side. Failure to tlo this will prevent to is cartl lrom <br />being returned~[O you. Tha return receipt lee will prOViy <br />you the name of the person delivered to and the data of <br />detivery. Far additional fem [he lollowina wrvices era <br />available. Consult postmaster for tees end check box(afl <br />for servitel s) repuested. <br />1. ^ Snow to venom, tlata entl atldress of delivery. <br />2. ^ Restricted Delivery. <br />3. ArUCb Addrwjed to: ~ f <br />Frank Levkulich <br />201 Cherry <br />Craig, CO 81625 <br />4. Type o1 Service: Article Number <br />^ Registeretl ^ Inspred p 652 676 208 <br />^ Certdied ^ COD <br />^ Express Mail <br />Always obtain signature of adtlressee or agent and <br />DATE DELIVERED. <br />5. Signature -Addressee <br />X <br />6. Signature - Aa t <br />X ~ ~ O <br />]. Date of Dative y <br /> <br />8. Addressee's Add ONLYifreque p fee pa <br /> <br />O <br />0 <br />3 <br />N <br />9 <br />m <br />H <br />C <br />a <br />z <br />9 <br />A <br />m <br />9 <br />P 652 676 208 <br />RECEIPT FOR CERTIFIED MAIL <br />NO INSURANCE COVERAGE PROVIDED <br />~p NOT FOR INTERNATIONAL MAIL <br />~lJ~ See Rbverse) <br />n <br />0 <br />LL <br />O <br />Yl <br />w <br />a <br />IL <br />u <br />K <br />O <br />!~_ <br />sent`'Frank Levkulich <br />street `Yd~'oCherry <br />P.O., State entl ZIP Cotle <br />Crai CO 81625 <br />Peerage = <br />Certified Fee , ' , ' ''I <br />.: J . ~ ... <br />Special Delivery Fee <br />Reatrlcte0 Delivery"Fee <br />Return Recel{~ St~~ L. <br />to ~edd.Date 'v r <br />Relum receipt showing to whom, <br />Date, and Addreae.o ellvery <br />TOTAL Poe qp >' <br />~ <br />Postma or Da~ ~ <br />,~s ~ ~, <br />~ <br />s <br />A <br />~~ <br />P <br />N <br /> <br /> <br />r~ <br />M <br />