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•ComplMe items 1 andlor 2 far eddiGoriel wrNCea. 19150 wl5h t0 reC9lve the <br />•Complete items 3, de, end db. fOIIOYring BBfVICe9 (fOr 9I7 <br />• Pdm your name end eddreea on the reverse or INe brm b Met wa can return this 6%tB fBB): <br />mrd to you. 8 <br />•Aaach this brm to the from of Me meilpieo, or on the b <br />i atls if apace dose nm t, ^ Addressee's Address <br />~ <br />penn <br />l. <br />• Wdte'Aefum Receipt Required' m the mailpiace brtbw the amide number. p. ^ Restricted D9livery p <br />tR <br />•The Return Receipt rill strove to whom Me ertltle was tlelivamd end the date <br />delivered. Consult postmaster for fee. <br /> g <br />3. Arscle Addressed to: 4a. Artlcle Number & <br />W <br />J <br />& V <br />Andrews <br />F Z 357 84 622 ~ <br />. <br />. <br />. <br />. <br />3171 Sheryl Court 4D. Service Type ~ <br />Grand Junction, CO 81503 ^ Registered Gi Cer[iflr' c <br /> ^ Express Mail ^ Insured <br />' <br />e <br /> ^ Return Receipt for Meldtendise ^ COD <br /> 7. Date of slivery <br /> r <br /> <br />5. Received By: (Pdnt Name) 8. Ad ass e's Address (Onty Il requested ~ <br /> and Ise is paid) ~ <br />6. Signature: (Addressee or Agent) <br /> <br />X ~~/ <br />>T <br />PS Form 3811, December 7994 1g2595~9~-B-01I9 Domestic Return Receipt <br />Z 357 084 622 <br />a <br />e <br />C <br />C <br />0 <br />C <br />ti <br />r <br />US Postal Service <br />Receipt for Certified Mail <br />No Insurance Coverage Provided. <br />....~ ~hII /Caa rovwmwl <br />Seel la <br />W. J. & 'V.: F. Andrews <br />1M'r~eryl Court • <br />~ <br />~ ~ <br />Poll W. Stale, d ZIP coda ~ <br />Postage ~r.(• ., $.... ., 3' <br />CerU<ed Fee ~ 3 1 <br />Spedel Delivery Fea <br />' <br />_ <br />, <br />Reseided Delivery Fee <br />Return Receipt SfarNtalo <br />' Whom d Date Defvemd - <br />~• ~ U <br />Rewm ReceglSmdMmYllion, <br />Dak,eAddressees Adhess <br />i TOTAL Postage 8 Faes <br />I $ ~ -' <br />l Posbnark ar Dale <br />i <br /> <br />