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)Gn1YGll: -_ .-~ <br />•ComplYe items 1 and/or 21or ad0itlonal services. <br />•Complete items 3, 4a, and 9b. ~ ~'- <br />• Pnm your name and atltlreaa on the reverse of this form so that we can return tNa <br />card to you. <br />•Aaech this form to the horn of the mailpiece, or on the bads if s~ce does not <br />pennil. <br />• Wdle'Rerum Receipt Requested'on the mailpece below the anicle number. <br />•The Return Receipt will slaw to whom the amide was delivered and the tlate <br />delivered. ' <br />le Addressed to: <br />MS IZORA L SODTHWAY <br />SODTHWAY CONSTRIICTION CO INC <br />117 WHITE PINE DR <br />ALANOSA CO 51101 <br />I also wish to receive the <br />following services (tor en <br />extre fee): ai <br />1. ^ Addressee's Address Z <br />2. ^ Restricted Delivery ~ :- r~ <br />Consult postrnaster for fee. a <br /> Y <br />nber v <br />Z 130 090 617 ~ <br />4b. Service Type <br />d <br />^ Registered Certified ~ <br />^ Express Mail ^ nsured ~ <br />n <br />^ Return Receipt for Merchandise ^ COD ° <br />7. Date of Delivery <br />c/-1/ i, <br />5. <br />6. Signature: (Addre s e o r <br />X <br />PS Fonn 3811, December 1994 <br />N <br />Oq~i <br />C <br />0 <br />N <br />a <br />Addressee's Address (Only i/requested ~ <br />and lee is paid) r <br />Z 13^ 09p .61 <br />~ C.;. ~~ <br />US Postal Service <br />Receipt for CerCtiefl ~ ~ <br />No Insurance Coverage Provided.~(~/ht*~- ~ <br />Do not use for International Mail See reverse ~ <br />~15t0IZORA L SODTHWAY V <br /> e <br />117 WHITE PINE DR <br />PR1'.~9J14'e~i P~4ii 01 <br />Postage 3 ~.r, <br /> ~\ <br />Certified Fea <br />Spedal Delivery Fee ~ nl?CF S ~ <br />Rr`stdded Delirory F ~ i <br />Return Receipt 0 f1~ <br />Whom 8 Dale De 7 <br />9 <br />Realm Recut J <br />Dale, 81d8esseeY ~ <br /> <br />TOTAL Postage 8 ,~ <br />PaslmMC Or Dete uSQ <br />