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<br />• <br />,.. <br />°' SENDER.' <br />y Complete itertis 1 antl/or 11or a0dinonal services. I a1a0 wish t0 reeelve the <br />y Complete dams 3, end 4a 8 b. fOIIOWing serviee5 Ifor an extra U <br />~ Print your name end address on the reverse of this Porm so that we can teal: ' <br /> <br />d re[um this certl to you. <br />• Attach this form to the front of the mailpiece, ur on the beck if spate <br /> <br />1. ^ Addressee's Address i <br /> <br />N <br />does not permit. <br />m Write"Return Receipt Reouestetl"an the madp~ece below the an¢le number. <br /> <br />2. ^ Restncted Delivery <br />6 <br />• <br />• The Return Receipt wdl show to whom the ankle was delivered and the date m <br />c delivered ConsuR postmaster for fee. y <br />~ 3. Article Addressed to: 4a. Article Number <br />m Richard & P1ichaeleen Carlson 2159 479 622 <br />n <br />o P.0. BOX 597 4b. Service Type <br />^ Registered ^ Insured m <br />~ <br />y Hudson, CO 80642 1~ certified ^ coo <br /> <br />w ^ Express Mail ^ Return Receipt for ~ <br />2 ~ Merchandise <br />~ 7. Date of Delivery ~ <br />a ~ <br />~~ <br />/ <br />/ l~)^ ~~ 9~ ,~- 9S <br />T <br />~ _ <br />~ <br />0 <br />.:gnature A resseel ~ 8. Addressee's Address IOnly if requested m <br />I <br /> and fee is paidl ~ <br />~ <br />- L <br />2~ 6. Signature IAgentt <br />~ ~ <br />~ I <br />> PS Form 811, December 1991 aU.S. GPO: tBera52-]ta DOMESTIC RETURN RECEIPT <br />m <br />