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.- <br />' °' ScNCErZ: <br />~ <br /> <br />a ~ I also 'Nish io r9C61ve X16 <br />Cpmplere name 1 antl/or : br aodilional samcee. <br />m •CpmGtate Hams ]. ~a, ana ab. }CIICW~ng ser,ica5 (fCr an <br />m <br />m •Pnm sour name and atltlress on the reverse of •nie form ;p char'ea can remm thn <br />~ 9%ifd 169): <br /> <br />j artl to you. <br />•Pnapn IN9 .'con la the Yont al the mapiece, or on the back J ;pace noes nor 1 . ^ ACCi9ssee'S ACdr955 ~ <br /> <br /> <br />m permit. <br />• Wnw'.4erum Recsmr .4e4uesiea' on the madciece below ;he anK:a numter. <br />2. ^ Restncted Delivery <br />m <br />y <br />L •ThB .4erum Rece~pl edl snow to venom the art¢1e was deliveretl anp the tlale <br />~ aeWerea. Consult pcstmasteNor'ee. <br />'mv 3. AraCle ACdressed ;o: 1a. Amcla Numcer <br />m <br /> ~ b Cb <br />a <br />~Ir. Egan ~lelby <br />ab. Service Type <br />2 <br /> Slelbv Ranch Proper[szs ^ Registered ~ Certified ¢ ' <br />y <br /> P.O. Box 795 ^ express Mail ^ Insuretl 5 <br />m <br /> San Lws. CO 81 U'_ ^ Retum Receipt far MerchanGse Q CGD ' ~ <br /> <br />7. Date of liver <br />~/ ~ _ <br /> <br />~ <br /> <br />5. Recerved By: (Pont Name) l <br />8. Addr ee~5 Address (Only i/requested r <br />~ <br />ru and !ee is paid) ~ t ~~ <br />¢. <br />6 <br />~ F <br />m <br />a . <br />M <br />PSI <br />receipt <br /> ~-9p-o73 <br /> Z 191 59"6 6 ~'% <br /> ~ ~' <br /> US Postal Servics <br /> Receipt for Certifie - <br /> No Insurance Coverage Provide~l~o <br />R'4 <br />~ ' <br /> 7 <br />Do not use for Intema6onal Mail See e <br /> Iv1r. Evan NelbY <br /> eaies <br />tvltlbY Ranch Prop , <br /> P.O. Box 795 <br /> t San Luis. CO 8l 152 >r <br /> <br /> Ppetage s .33 ~~, <br />. Certified Fee 1 , ~{ O C. <br /> C' <br /> Spedal Oeliwry Fee - ' <br /> C. <br />., Resiriaed OeWery Fee {. ~~ <br /> <br />' <br />~ N <br />~ Retum ReteiPt Shoering ip I z7 ~> <br />~ <br />. <br /> _ Whom E Date DeGvensd <br />C.') , <br /> n Realm Reuyl ~-b"T91p N7am. _ Ci <br /> Oate.6,id0esees he9ess Y . <br /> O TOTAL Ppstage 8 Fees S Z, c` a r <br /> m <br /> ~ Posunark or Dace <br /> E _ ~• <br />- ~" <br /> y ~ G <br /> a <br />