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9 <br />H <br />T <br />0 <br />3 <br />W <br />c <br />m <br />m <br />SENDER: CotnpleN itMls 1, 2, 3 sntl 4. <br />Put yWr adtlress in the "R6TVRN TO" spate On the <br />reverse side. Failure [o do Ihis will prevent this card lrom <br />being retu rnetl to you. The return receipt fee will provide <br />you the name of the person tleliverad to end the date of <br />delivarv~ For additional tab the following ettvicef era <br />available. Comult postmaster for lei end check tioeles) <br />f ar <br />s <br />ervicsff) raduestatl. <br />r <br />~ <br />1. ~, Show to whom, date end address of delivery. <br />2. ^ Resvictetl Delive ( <br />\ <br />'\ <br />3. Artitla Atltlressetl [o: <br />` <br />` <br />\Y1n . C . ~ v.-(~ NS~-'O <br />~-Po o e . 32Nd <br />~..,no...oo, Co • ``13o I <br />4. Type'ot Service: Article Number <br />Registered ^ Insured <br />Certified ^ COD (p',>'Z 4p `t2 9 Z "'~ <br />^ Express Mail •r <br />Always obtain signature of addressee or agent and <br />DATE DELIVERED. <br />5. Si nature - Addr N ~ <br />X j <br />6. Signature -Agent <br />X <br />7. Date of Delivery C ,~ <br />GIJ <br />:n <br />9. Addressee's Address /ONL <br />/ <br />t, '~ /a <br />.yb~_ <br />N ,, <br />C <br />a <br />3 <br />m <br />N <br />t'1 <br />m <br />C <br />x <br />z <br />x <br />m <br />n <br />1 <br />P 652 682 9z <br />RECEIPT FOR CERTIFIED M IL <br />NO INSURANCE COVERAGE PROVIO D <br />NOT FOR INTERNATIONAL MAIL <br />I (See Reverse) k n a i< <br />w <br />G <br />i <br />C <br />e <br />M <br />Sent to <br />~ . Z ~..-- <br />Street and No. <br />4 O "2 ~t <br />P.0., State antl ZIP Cotle <br />..i c...~ <br />t ~3 <br />PosteDe ~ s f <br />Cerilfled Fee " <br />Spxlal Delivery Fee <br />Restricted Dehver~' Fee <br />Return RecelplSfwwlnp <br />to whom antl Date De' rGd~ <br />I <br />Retum receipt aTio a W <br />Date, antl Addre eli <br />TOTAL Postapti~ Fees <br />1 G" <br />Po9lmark or Date p _ <br />~ C <br />rcC <br />LL <br />~€ <br />O <br />LL <br />N <br />n <br />J <br />J <br />n <br />e~ <br />G <br />J ~ <br />,r <br />7 <br />N <br />O <br />(r' <br />