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RFCEIVED <br /> MAY 0 z 1997 <br /> l3iftio of Minna&Qeology <br /> SENDER: SENDER: I also wish to receive the <br /> Complete items I and/or 21or additional services. I also wish t0 receive the v .Complete Items 1 and/or 2 for additional services. <br /> N is Complete items 3,4a,and 4b. following services(for an .N •Complete Items 3.4a,and 4b. following services(for an <br /> L is your name and address on the reverse of this form so that we can return INS w •Print your name and address on the reverse of this form so that we can return this extra fee): <br /> a extra fee): m <br /> card to you. rare to on. <br /> > sAdach this loan to the front of the mailpiace,or on the back it space does net 1. ❑ Addressee's Address II > •Attach this form to the front of the mailpiace,or on the back it space does not 1. ❑ Addressee's Address <br /> u pamul. Z m rmit. <br /> u sWrile'Return Receipt Requested'on the mailpiace below the article number. 2. ❑ Restricted Delivery coo) u e write Return Receipt Requested@on the mailpiace below the article number. 2. Cl Restricted Delivery <br /> ji S The Ret um Receipt wet show to whom the Snide was delivered and the date « •The Return Receipt volt show to whom the article was delivered and the date <br /> c delivered. Consult postmaster for fee. .d a delivered. Consult postmaster e. <br /> c, 3.Article Addressed to: 4a.Article Number w f a 3.Article Addressed to: 4a.Article Number <br /> T&?7=,Zr G�10,vo^7 2 :2/ G,16s e i a y�J 6 C� 22 5 <br /> E 4b.Service Type ' E , 4b.Service Type <br /> o ` w o Ray Pendleton <br /> ❑ Registered ❑ Certified ¢ o ❑ Registered ❑ Certifiec <br /> rn m Public Service Co.of Colorado <br /> in C er"Pa jr�-OX 37 7 ❑ Express Mail ❑ Insured c ❑ Express Mail ❑ Insured <br /> (/ - ra w 2655 N. 631d St. <br /> cc ❑ Return Receipt for Merchandise ❑ COD ' ¢ ❑ Return Receipt for Merchandise ❑ COD <br /> /�p31•-1�9�7 CO C"7 03 t7 g c Boulder,CO 80301 <br /> 0 7.Date of Delivery o 7.Date of Delivery <br /> a 0 .a <br /> = M a ;Z <br /> 5.Received By: (Print Name) 8.Addressea'sAddreii'lffrity if requested ¢ 5.Received By: (Print Name) 8.Addressee' Ad ess(Only it requested <br /> and fee is paid) t . Cu and foe is paid) <br /> cc Ile <br /> 6.Signet a Addressee or ant 6.Signature: ddressee orA ent) <br /> y X y X Jiv 2t�tcC�� <br /> PS Form 3811, December 1994 Domestic Return Receipt PS Form 3811, December 1994 Domestic Return Recei( <br /> SENDER: d SENDER: <br /> a •Complete items 1 and/or 2 for additional services. I also Wish to receive the ,p wComplate Items 1 and/or 2 for additional services. t also wish to receiveAL <br /> vi -Complete Items 3,4a,and 4b. following services(for an as sComplete Items 3,4a,and 4b. following services(to qr <br /> a <br /> is Print your name and address an the reverse of this form so that we can return this extra tee): IS •Print your name and address on the reverse of this loan so that we can return INS extra fee): <br /> card to you ai card to you. <br /> m •Anach INs form to the Iran)of the mailpiace,ar on the back if space does not 1. ❑ Addressee's Address 2 •> sAnach this form to the front of the maltplece,or on the back rl space doeS not 1. ❑ Addressees Address <br /> s permit. <br /> e-Refurn Receipt Requestod'on the mailpiece below the article number. 2. ❑ Restricted Delivery y •"Y s Wn a permit. <br /> Receipt Requested'm The mailpiace below the snide number. 2. ❑ Restricted Delivery <br /> s The Return Receipt will show to wham the article was delivered and the dale g -The Return Receipt will show to whom the Snide was delivered and the dale <br /> delivered Consult postmaster for fee. 11C delivered. Consult postmaster for fee. <br /> a 3.Article Addressed to: 4a.Article Number u a 3.Article Addressed to: 4a.Article Number <br /> w lac4; <br /> E " TlWJ P.V fJA ro <br /> c Dennis Smilll 4b.Service Type 8 E 4b.Service Type <br /> m <br /> u Registered ❑ Certified or ro❑ u �!/�d.�LdeC� 43� ❑ Registered ❑ Certified <br /> In U.S. West Communications rni In ❑ Express Mail ❑ Insured c . ��t)O Sri, PugUC 1204017 ❑ Express Mail � -�AYCT Insured <br /> lu 1855 S. Flathon Ct. <br /> ❑ Return Receipt for Merchandise ❑ COD ' {x ❑ Return Rlrcelp6lofl(1 f OD <br /> a Boulder,CO 811301 0 L per`-�v/ Co C' � <br /> �. Date of Delivezg 7-Data of Delivery �)o 1 <br /> z 0,, <br /> 5.Received By: (Print Name) 8.Addressee's Address(Only it requested may' S.Received By: (Print Name) 8.Addressee's Address ly Jq�?nes ad <br /> w and lee is paid) t r and!se is paid <br /> cc I- oc <br /> 0 6. Signature: A dresse or Agent) .7 ,? !i 6.Signature:(Ad PForAgre � p - i <br /> n h <br /> n ..,..r., n-.i...., n . .....,I r.,. ,- �n4 d ni. .. i„i, F1mmpSlic f3phRn Receipt <br />