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III IIIIIIIIIIIIIIII <br /> <br />SENDER: <br />" <br />,. <br />• Complete items 1 andror 2 tar idditttnal ServlesS. I also wish to receive the <br />• Complete items 7, arM ae & ~. fallowing services (for an extra Y <br />°y Print your namo end address an the tevt;rse~af this form so that we can feet: <br />c return this cart! tp you. - <br />~' • Attach IKA.fpm1 t0 the lront of If1e Ta~piel:Cr or 8n the 60ckit ap9§B <br />.'t. ^ Addressee's Address o <br />y <br />.~. does not permit <br />.+ <br />o ~ Write "RemrnRereiprRequested"otti mailpiee9Hetowrhberticlehumber <br />$ <br />2. ^ Restricted Delivery ° <br />• <br /> <br />• Theflemrn Receipt willshow tuwtq ttide wastleGvere date ~ <br />o derwetea. on It ostmaster for tee. o <br />e 3. Article Addressed to£~ Number ~ <br />~ <br />3 4 9 186 9Z2 e <br />MRS GLORIA DAVIS <br />~ . <br />S ~ 0 TYPe <br />0 BIMROCK COAL COMPANY <br />p` . <br />Re re2f, ^ Insured ~- <br />rn X1390 ASH STREET ~,~, d ^coD .s <br />w ~ DENVER CO 80220 0 Mail ^ Return Receipt for ~ <br />• Merehandi a +• <br />p <br />a ~ -. <br />/ <br />' .Data. Delivery ~°~. <br />~ <br /> (i(r(~~jc/ o <br /> 5. Signature fAddresseel ~ 8. Addressee's Adtlress IOriy it requested Y <br />f <br />W and fee is paid) ~1' ~ ,_, <br /> 6. SigRatute ~~'9en~; ~ i <br />, <br />t ~ ~ <br />, <br /> . <br />1 t . , <br />~ 1 <br />11 <br />ii It ii ifiiii tnlt;l iu~i r <br />ih.i r a <br />a ,..`; <br /> e •:~ <br />