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m SENDER: <br /> o -Complete items 1 Wd(or 2 for additlonal earvices. I also wish to receive the <br /> e .complete name a,Aa,and Ib. following services(for an <br /> o a Pnm your name and address on the reverse of this form eo that we can return this eta fee): <br /> P cen to you: 8 <br /> o •Atli this ban to the horn of the mellpieo,or on the back If�aoe does not t, Addressee's Adtlreas <br /> ` aWdte'R&umRecel A ueted'onthemail 2. ❑ Restricted Delivery y° <br /> -S •The Return Receip walshow to whom the anlde"a delivered and tha d to <br /> a delivered. Consult postmaster for fee. ppu <br /> 3.Article Address 4a.Article Number 5 <br /> Z 434 941 569 cc <br /> o Mr Terry Nichols E <br /> eJohn T6 Ward Nichols 4b.ServiceType V <br /> PO Box 0 ❑ Registered XY(j Certified x <br /> to <br /> Grand Jutction CO 81506 ❑ Express Mail p Insured S <br /> e <br /> ❑ Return Receipt for Merchandise ❑ COD ` <br /> 7.Date of Delivery E <br /> a <br /> a <br /> 5.Received lay:(Print Name) 18.Addressee's Address(Only if requested e <br /> and foe is Paid) — 9 <br /> itum Receipt <br /> File `tea <br /> Z 434 941 56 �?�'/dt3 <br /> US Postal Service <br /> Receipt for Certified Mail , b <br /> No Insurance Coverage Provides. .� <br /> Do not use for International Mail See reverse :.J <br /> (Terry Nichols <br /> u <br /> Street d Number <br /> 0 Box 60010 v <br /> Post Oli State,&ZIP Cade <br /> Gran Junction CO 81506 <br /> ' S <br /> Postage $ <br /> Ce ^Fee <br /> SpeaalLuuvery Fee S <br /> O <br /> Restnded Delivery Fee <br /> m Return Receipt Sho 0? h y <br /> Whom A Date Deli L7 <br /> Realm Rxeo <br /> Data,&Addressee' or MO. ch <br /> O TOTAL Postageo! s <br /> Postmark or Date • 4r <br /> LL =SP lam/ <br /> to r1 <br /> a <br />