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to SENDER: <br /> v complete items t and/or 2 for additional services. I also wish to receive the <br /> m •Complete items 3,4a,and 4b, following services(for an <br /> m e art a;your and address on the reverse of this form so that we can return this extra fee): <br /> Y° <br /> d -Mach this form to the from of the Tailpiece,or on the back if space does not 1, ❑ Addresses's Address <br /> permit. <br /> p •Wnle-Refun,Receipt Requesred•on the mailpiece below the;;Aicle number. 2. 0 Restricted Delivery 0 <br /> .t. •The ReturnReceipt will show to whom the article was delivered and the date 11) <br /> E.delivered. Consult postmaster for fee.• m <br /> 0 <br /> a 3.Article Addressed to: 4a.Article Number o <br /> E4b.Service Type <br /> o JULIE GOETTEMOELLER d <br /> WESTERN MOBILE NORTHERN Registered A Certified o <br /> 1590 W 12TH AVE ❑ Express Mail ❑ Insured <br /> DENVER CO 80204 Return Receipt for Merchandise ❑ COD <br /> 7.Date of Delivery <br /> z Q, <br /> 5.Received By:(Print Name) 6.Addressee's Address(Only if requesteJ <br /> and fee is paid) t <br /> I— <br /> g 6.Signatu�ee or ent) <br /> i X <br /> a <br /> Ps Form 3811, December 1994 fir Domestic Return Receipt <br /> Z 416 952 649 <br /> sPe fnr <br /> fl if' 1�llail <br /> verage Provid <br /> DcFi tj sQfydaternational ME <br /> JULIE GOETTEMOELLER <br /> WESTERN MOBILE NORTHERN <br /> 1590 W 12TH AVE <br /> DENVER CO 80204 <br /> GO Postage F <br /> 9 <br /> ESPecia, <br /> ee i <br /> L <br /> U- elivery Fee <br /> D¢Lvery Poe <br /> ceiol Showing <br /> B Dale DeiceiptA <br /> TOTAL Po <br /> It Fees <br /> Poslmar ""'NOV 2 0 19% <br /> 'Y W <br /> ® N <br /> V W W <br /> Ugp5 <br />