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<br />m <br />o SENDER: <br />.Complete items 1 anNor 2 !or additional services. I also wish to receive the <br />m .Complete items 3, 4a, antl 4h. }pllOWing seNiCBS (}Of an <br />w • Prim your name and etltlress on the reverse of this form so t hat we can return this extra fee <br />~ <br /> <br />w card to you. <br />•Adach this loan to the horn of the malpiece, dT orZ the Eack if space does not <br />1. ^ Addreaee9'S AddreSS 4i <br />~ <br /> <br />y permit. <br />aWdte'getum gewipf gequested'on the mailpiece below the article number. <br />p.^RBStdcted D¢livery ~ <br />y <br />t •The Relum Receipt well snow to wham the enitle was delivered antl the dale <br />. <br />~ eeiivered. Consult postmaster for lee. <br />Y <br /> <br /> 3. Article Adtlressed to: 4a. Article Number <br /> <br />c SYLVESTER AND JULIE SPAETH P 296 608 571 <br />, <br />o BOX 65 7 4b. Service Type .'~ <br />u <br />OAK CREEK CO 80467 ^ Registered ®Certified ~ <br />~ <br /> ^ Express Mail ^ Insured e <br /> <br />^ Return Receipt for Merchandise ^ COD m <br />0 7. Date of Delivery <br />`= a .s, 9 r <br /> <br /> 5. Received By: (Print Name) 8. Addressee's Address (Only i/requested ~ <br /> and tee is paid) i <br />¢ r•- <br />~ 6. Si <br />gnatu : (Addressee <br />^ rAgenl) <br />T y <br />^ <br />_ l~ <br />m <br />PS F' 811, December tssa <br />Domestic Return Receipt <br />• _. <br />P 296 608 571 <br />Receipt for ,o~` <br />o ~ Certifie~CM il~ <br />N ~ No Insu~e C99~~er a Provided <br />~O ,o ,u „=*~,~ Do not use a~diernational Mail <br />(See Revere' <br />Senno <br />U SYLVESTER D J IE SP E <br />sveei anp vp <br />~ BO 6 <br />C P 0 . sbie and ZiP Cptle <br />~ OAK CREE <br />Postage <br />~ Certnree Fee - <br />N ~t:.ri _ <br />i` Speoai De e~y F ~ : - <br />C~ Resv¢le Del e~ <br />rim fleiurn flecwpr ~~, ~ <br />W io Whom B <br />`~ <br />~ Hemrr, fleceipi sho g i y <br />~ [ Gaie, antl n04~ <br />~~ TOT4L Pps~age <br />8 reee $ y <br />Fps~ma,ko,oano`M\ne\a <br />~E p\V\$\0 <br />• <br />nd <br />