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• Complete items 1 and/or 2 for additional services. <br />• Complete items 3. and 4a & b. <br />• Print your name and address on the reverse of this form so <br />[hat we can return this card to you. <br />• Attach this form to the front of [he mailpiece, or on [he <br />back i} space does no[ permit. <br />• Wnte "Return Receipt Requested" on the mailpiece next to <br />the article number. <br />3. Article Addressed to: 4a. An <br />I also wish to receive the <br />following services Ilor an extra <br />feel: <br />1. ^ Addressee's Address <br />2. ^ Restricted Delivery <br />ALBERT FREI JR P 860 170 607 <br />ALBERT FREI & SONS INC 4b. Service Type <br />11521 BRIGHTON RD ^ Registered ^ insured <br />HENDERSON CO 80640 ~ Certified ' ^ COD <br /> ^ Express Mail ^ Return Receipt for <br />5. 9gnat}U~Addresseel I b. Addressee's Ad <br />and fee is paid) <br />r<u.s. dPO: +eaa-srsaet DOMESTIC RETURN RECEIPT <br />\~ ~b P 860 170 607 <br />V ~~ Certified Mail Receipt <br />No Insurance Coverage Provided <br />V r~ Do not use for International Mail <br />~ ~, ~ (See Reverse) <br />r ~ <br />°a <br />m <br />m <br />c <br />O <br />O <br />!+7 <br />E <br />N <br />a <br />~"11O Albert Frei Jr. <br /> on Inc. <br />Street d Na. <br />11521 Brighton Road <br />P.O., Stale 8 ZIP Code <br />Henderson, CO 8064G <br />~~ <br />Cxrtil' Fee ~ . <br />S ~rY ~l~ ~ <br />f . (~ ~l~ <br />R ry . <br />Ratur ecaip g <br />to Who Deta <br />Return Reteipl Sh°wing b Whom, r~ <br />Dale, d Mtlrw of Delivery <br />TOrAL Rntaga Qv ~~ <br /> <br />PoslmM or Dme <br />f <br />Gi <br />V <br />U <br />m <br />111 <br />7 <br />3 <br />f\ <br />U <br />C <br />m <br />7 <br />tD <br />-~ <br />. (' <br />C <br />C <br />I\ <br />S <br />