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V Complete items 1 end/or 2 for adtlitional services. I also wish t0 raC21Ve the <br />• Complete tams 3, end be L b. following serviCeS (for en extra <br />• Print your name end address on the reverse of this lorm so that we can f001: <br />return this card to you. ~ ~ ~~ <br />• Attach this form to the front of the mailpiece, or an the back if spac0 ~ 1. ^ Addressee's Address <br />tloes not permit. <br />• Write"Return Receipt ReRUasted"onthe meilpiete below the article number. 2. ^ Restricted Delivery <br />• The Return Receipt will show to whom the article was delivered end the date <br />delivered. Consult postmaster for fee. <br />3. Article Addressed to: <br />__ ---- 4a. Article Number <br />~ a~ o~~S <br />MR LEONARD LOURONEN 4b. Service Type <br />LOUKONEN BROTHERS STONE CO ^ Registered ^ Insured <br />PO BOX 333 'Certified ^ Coo <br />`/ LYONS CO 80540 ^ Express Mail ^ Return Receipt for <br />. Merchandise <br />/ <br />, <br />.~- / / <br />uCL~Lt.sf Gt'L.Q/~i- - 7. Date of Delivery <br />5. Signature IAddresseel 8. Address e' ddress (Only if requester <br /> and fee is paid) <br />6. Signature (Agent) <br />PS Form 381 7, December 7997 tr U.s.G.P.0.:1992-307-530 DOMESTIC RETURN RECEIP' <br />P X96 603 OS j~ ~, / <br />,. S `~ <br />Receipg fo~ir <br />v CertiRl~ 111ai1 812~'I <br />No Insurance Coverage rove <br />p ® Do not use for International Mail <br />~ Ar.., v..cr 1See fz - - - - - <br />MR LEONARD LOUKONEN <br />LOUKONEN BROTHERS STONE CO <br />~ PO BOX 333 <br />m LYONS CO 80540 <br />a Postage <br />~ Cend~ed Fee <br />N <br />E Speaai Oeinerv Fee <br />Reslnneo Deiw~rv Fee <br />E°' Rewrn Receip~ Snowm9 <br />pp to Wnom b Dala Dedve~ <br />~^ Rewm Feceioi Sr 'y^ <br />c Dale, end Addy <br />~ TOTFL POSIa ' <br />~G B Fees <br />C~ Postmad or al <br />~, 1~y4 <br />~° X02 <br />~a <br />m <br />V <br />.~ <br />m <br />N <br />6 <br />.0 <br />m <br />¢° <br />e <br />.~ <br />0 <br />T <br />Y <br />c <br />L <br />H <br />