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SENDER: <br /> o .Complete items 1 andlor 2 for additional services. I also wish to receive the <br /> m -Complete items3,4a,and 4b. following services(for an <br /> O e Prim your name and address on the reverse of this form so that we can return this <br /> extra(e9): <br /> card to you. 4i <br /> .Attach this form to the hoot of the mailpiece,or on the back it space does not �. ❑ Addressee's Address U <br /> 0 permit. u <br /> 0 s Write'Rstum Receipt Requested'on the mailpiece below the article number. 2, ❑ Restricted Delivery N <br /> •The Return Receipt will show to whom the article was delivered and the data <br /> delivered. Consult postmaster for fee. a <br /> O Y <br /> v 3.Article Addressed to: 4a.Article Number d <br /> w P 526 430 828 c <br /> E A REID JONES 4b.Service Type m <br /> 0 VALCO INC ❑ Registered X] Certified c <br /> P 0 BOX 550 ❑ Express Mail ❑ Insured <br /> ROCKY FORD CO 81067 ❑ Return Receipt for Merchandise ❑ COD ' <br /> 0 7.Date of Delivery <br /> ' <br /> r <br /> 5.Received By: (Print Name) 8.Addressee's Address(Only if requested <br /> lu and fee is paid) c <br /> tc � <br /> g 6.Signature: (Addressee or Agent) <br /> PS Form 3811, D6cember 1994 Domestic Return Receipt <br /> d <br /> p 5 828 <br /> 0 <br /> �ertified Mail <br /> o }�! overage Provided. —' <br /> ^�Q o tlsa for International Mail See reverse <br /> Sent to <br /> AnREID JONES <br /> SdpyL"IntgNC <br /> RC1C Rfl pr8• 67 <br /> o, <br /> Paslag ;Ei $ <br /> Ce Fee <br /> Special INe Fm`-- <br /> ad <br /> N <br /> Return Receipt <br /> whom d Data Delivered— <br /> .a Relum Receip90w5-fit)Wham, <br /> < Data,6 Addressee's Address <br /> O TOTAL Postage A Faes Is <br /> CO <br /> V) Postmark or Date <br /> 0 <br /> LL <br /> to <br /> a <br />