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iiiiuiiiiiiiiuiii <br />999 <br />~. <br />° SENDER: <br />4 • Complete items 1 antllor ]tor additional services.t <br />° •'Complete items 3, and 4a & b. <br />N • Print your name an.9 adtltess on the reverse of this form So that we can <br />d return th9 card to you. <br />•.Anach•thq 1 ro tha from of the medpieca, or on the back d space <br />dn_es no[ permit! <br />V Write"Return Recei0l Requestetl"'D`n the mailpiece below the article number <br />• the Relrn Receipt will show to whom the article was delivered and the data <br />~ dellveretl. <br />7 3. Article Addressed to: 4a. Art <br />d <br />° ~Z <br />also wish to receive the <br />following services (for an extra ~ <br />feel: 'S <br />1. ^ Addressee's Address y <br />r <br />t n <br />2. ^ Restricted Delivery •m <br />insult postmaster for Fee. y <br />Number ((^~ ~ <br />E MR RALPH LOPEZ 4b. Service Type ¢ <br />w ~/Registered ^ Insured <br /> BASIN RESOIIRCES <br />ICJ Certified ^ COD ~ <br />5 <br />w 14300 HNY 12 ^ Express Mail ^ Return Receipt for ~ <br />lx SiESTIN COLORADO 81+ <br />1 Merchandise <br />D <br />G , <br />7. Date of Delivery w <br />¢ - - o <br />~ 5. Sign tore (Addressee) 8. Addressee's Address (Only f requested ~r <br />F ~j 1 Arln~ <br />NWW'tW~~Y y/ 1 I IVVVHHH'~~~ and fee is paid) ~ <br />° <br />~~ 6. Sig tut Age tl ~ <br />~' PS Form 11, December t991 eu.s.~PO:rlwz-azaxn DOMESTIC RETURN RECEIPT <br />° <br />