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v SENDER: <br /> v •complete items 1 andror 2 for additional services. I aISO Wleh to receive the <br /> m •Complete items 3,4a,and 4b. following services(for an <br /> •Prim your name and address on the reverse of this form so that we can return this extra fee): <br /> card to you. 4i <br /> j -Attach this lorm to the from of the mailpiece,or on the back if space does not 1. Addressee's Address <br /> d Pelt. t <br /> y •Wdte'Retum Receipt Requesfed'on the mailpiece below the article number. p. ❑ Restricted Delivery of <br /> JZ -The Return Receipt will show to whom the article was delivered and the date <br /> C delivered. Consult postmaster for fee. a <br /> v 3.Article Addressed to: 4a.Article Number u <br /> 0 MR MARK A STEEN Z � 30 OSC� (O 7�I c <br /> n <br /> c HI VIDA ENTERPRISES INC 4b.Service Type <br /> m <br /> P 0 BOX 1523 _ ❑ Registered Certified m <br /> W LONGMONT CO 80502 ❑ Express Mail ❑ Insured H <br /> cc ❑ Rehm Receipt for Merchandise ❑ COD <br /> c F <br /> 7.Date of Delive <br /> 0 <br /> 0 <br /> 5.R�ec�e' ed Bny:(P,rint N.' <br /> ) 8.Addressee's Address(Only i/requesretl <br /> O v �C _ '��1 and fee is paid) i <br /> F <br /> g �nature:(Ad ssee n gent) <br /> T <br /> n � <br /> PS Form 3811, December 1994 Domestic Return Receipt <br />