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<br />o SEN <br />v .c«npMte NMrr t and« 21« •ddNiorW e+rlic•+. 1 also wish t0 receive the <br />s .Corr~itttateo,+e,antl+p. ftNlowirp5ervlces~(foran ' <br /> .Pont ytarrname antl eddr~eon the reNte+of this lOm11 e0 that we can relumltH! e%tra fee): r- <br /> <br /> <br />> <br />Caftl 10 you. <br />•Atlach Ihi• form to the hom d the rrxilpiece, «en the beck 8 apace tlo•a not <br /> <br />~. O Addressee's Address ~ <br />o <br />y permit. <br />•WriteWefumRecaiptRequwte0'anthemeilpiecabelowlheenkknumber <br />2.^RestrictedDBllVery <br />y <br />$ .The RMUm Rxeipt wiH show to whom the ertide waa deNveretl rntl Iha tlat• <br />~ deliveree. Consult postrnaster for tee. <br /> ff <br />a 3. Article Addressed to: 49. Article Number E <br />m z a 1~1 -17 <br /> <br />E - - - - - - - 4b. Service Type <br />~ (~AA(iEOFFDYON / Registered ^ Certified a <br /> J03 S W~1NO 8T , QUI O <br />, <br />' ~7 ><press Mail ^ Insured <br />ry <br /> AUYOYA CO 80012 /° <br />` m Receipt far Merchandise ^ COD ~ <br />o ~ <br /> Q 7, of Delivery <br /> o' <br /> ~, a <br /> 5. Received By: (Print Neme) .Addressee' Address (Only it requested ~ <br /> 2 Sps - and !ee is pafd) <br />g 6. Signature: Ad ssee or Age <br />o X <br /> Ps Form 3 1, December t99~ Domestic Return Receipt <br />v <br />n <br />rn <br />`o <br />Q <br />S <br />m <br />0 <br />LL <br />fn <br />a <br />_ Z 192 121 1 <br />US Postal Service Sp t3C. <br />Receipt for Certified,~i~ <br />No Insurance Coverat~d(~ <br />Do <br />~ . __ <br />(~iOR(II! O PPDAON <br />Sr 107 S WI~.INd STYPET <br />AUAOISA CO 80012 <br />Po <br />Posage j <br />Carefied Fee ~~.7 <br />Spedal DNivery Fea <br />Rashic7etl Deivery Fee <br />Refum Receipt Showing to <br />Whom a Date Defraretl <br />Realm Recegf Slcwig ro Whom, <br />Date, 6 A#etseeY Aedess <br />TDiAL Postage 8 Fees S <br />Posanerk or Date <br />