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o SENDER: I also wish io receive the <br />v <br />m • Complete hems 1 anNOr 21or additional serves <br />• Complale items 3, 4a, and 4b. fCIIOWIn Se NICeS (fOr an., . <br />g <br />m • Pnnt your name and atldress on the reverse of tors form so mat we can velum tn~s C%Ira fee): <br />~ <br />N wrtl to you. <br />• Attach Ihis form to the front of the mailpiece. or on the Back d space tloes not <br />1. ^ Addressee's Address d <br />°- <br /> • Wrri a 1'Rerurn Recerpt Requesfed'on the mailpiece below the ankle number 2. ^ Restricted Delivery N <br />d <br />5 • The Return Receipt will show Id whom the article was delivered and the tlale <br />lm <br />Consult postmaster for fee. <br />$ <br /> de <br />ered <br />0 <br />d 3. Article Atldressed to: 4a. Article N1um~ber ~Q <br />~J~ ~OS~~ <br />__ <br />a <br />n E. Muyer <br />Ms. Lynn <br />4b. Service Type ~ <br />5 <br />E L.G. Evelist Inc. <br />~ <br />-~ <br />Ste ^ Registered <br />Certified °1 <br /> . <br />ve., <br />7321 E. 88th A <br />CO 80640 <br />n ^ Express Mail ~ Insured ~ <br /> . <br />Henderso ^ Return Receipt for Merchandise ^ COU ~ <br /> 7. Date of Delivery o <br /> _, ~ <br />o <br /> 5. Received By: (Print Name) B. Addressee's Address (Only i/ requested Y <br /> and lee is paid) m <br /> L <br /> 6 : A ryessee or Agent)' <br />~ ~ <br />9, <br />o <br />a i ~ <br />=' PS orm 11, December 1994 102595-9B~B-0P29 Domestic Return Receipt <br />P 436 785 321 ~_ <br />N US Postal Service ~ <br />R <br />i <br />ifi <br />f <br />C ~ <br />i~ <br />~ <br />ece <br />pt <br />or <br />ert <br />ed M <br /> <br />No Insurance Coverage Provided. t <br />0 Do not use for Intemafional Mail See ve <br />U seruto <br /> Ms. Lynn E. Mayer <br />~ 57 L.G. Everi.st Inc. <br /> 7321 E. 88th Ave. <br />Ste. 200 <br /> , <br />P' Henderson, CO 80640 <br />~ Postage <br />N <br /> <br /> Cer~ed Fee /r !~ <br />T~ <br /> <br /> Spedel Delivery Fee <br />~~ <br />