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<br />SENDER: Complete items t, 2, 3 and 4. <br />Put your address in the "RETURN TO" sPac• on the <br />reverse side. Failure to do this will prevent this card from <br />pagg returnetl to you. The return recaiot fee w'JI provitle <br />the name of the person delivered to end the date of <br />er .For edtlitional Ices the following services era <br />Mrlable. Consult postmaster for fees entl check box(n) <br />!or s <br />erv <br />ice(s) requested. <br />~~ <br />~~ <br />f d <br />t <br />1}' <br />h <br />d <br />li <br />very. <br />. <br />ow to whom, tlate ano e <br />tlrose o <br />e <br />S <br />2. ^ Restricted Delivery. <br />~. Article Addressed to: <br />m ~, m ~ ~-~.- rv~,11er <br />Y~ S C9 ~ ~ <br />~ <br />3 <br />5 <br />E ll l <br />~Ek <br />`~ ~ <br />t <br />~ <br />` <br />~~~ <br />~~-( <br />j/ <br />~ <br />/ <br />/ ~ ` <br />`l~e.(,1 LLJ UW~~ 1 <br />~. Type of Slrv Article Number <br />.~..,,,,~~eegrslered ^ Insuretl <br />~Ggrtified ^ COD ~, t~o Q~ <br />,~ 1~ ~l ~Q <br />Express Mail <br />Always obtain signature of addressee or agent and <br />DATE DELIVERED. <br />5 ~ nature - Atl a <br />X <br />6. Sipneturs -Agent <br />X <br />7. Date of Oelivery NOV 3 -1986 <br />8. Addressee's Address (ONLY ijiequated acrd jee paldJ <br />OcP_ll'1.t~::..! F'::ST rFr14` `.'r .'.~.LLJ <br />GRE:L_~`a COLORADO 90@<,1 <br />r <br />R <br />3 <br />L <br />e <br />r <br />3 <br />A <br />y <br />S <br />m <br />C <br />a <br />2 <br />a <br />n <br />m <br />9 <br />~1 <br />P 168 480 188 <br />RECEIPT FOR CERTIFIED MAIL <br />NO INSURANCE COVERAGE PROVIDED <br />1~~ (NC07 FOR INTERNATIONAL MAIL <br />~,C ~J " (See Reverse) ~ ~ 5 IO <br />Y <br />a <br />O <br />d <br />ti <br />41 <br />ti <br />Ptcew-n-4Y r •,..,,ax.l <br />Sere to 5 <br />Street, and NQ~ ~ ` <br />P.O., rate a ZIP Cotle <br />Postage t <br />Certined Fee <br />" <br />Speci it e I <br />Restricted Deli Fee <br />I <br />Return Receipt Showing <br />to whom and Dat elivered <br />Returry,[~(', ' sown <br />Date, ltTiL ~V,S, <br />TOTAL Postage and Fees , ` <br />~ S~ r <br />Postmark or Date <br />I <br />/n~C~ <br /> <br />ro <br />T <br />c <br />IL <br />chi <br />E <br />a <br />