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<br />~ ~ SENDER: Colnplefe items 1. 2, 3. BJId ~. <br /> Add your address in the "RETURN ~3?' <br /> on reverse. <br /> (CEINSULT POBiYASTER FOR FEES) <br />~, r. The fallowing service is rxquested (check one). ' <br />1 <br /> ^ Shaw to whom and date delivered ...................J -C <br /> ^. Show to wham, date, and address of delivesy.. .-6 <br /> x.^ RESTRICTED DELIVERY -C <br /> Qhe rennered dtlinry far u charged in addition ra <br /> rht remm rceript fee) <br /> TOTAL ;__ <br /> x ARrictE ADDRESSES m <br /> Mr. Martin S. Zemlock <br /> P.O. Box 727 <br /> Glenwood Springs, CO 81602 <br /> a PE OF SERVICE: ARTICLE N <br /> RElDSTEpFD ^ NSUitED <br /> . C6RFED ^coD P397145566 <br /> MAK <br /> ObINn BIpDeM! t1f BddFM888 Or pent) <br /> I have received the article described above. <br /> SWNATURE ^ Addressee ^ Authorized agent <br /> 5. DAZE Of DEIIYERY <br />D <br />~ <br />e1 <br />O ~ . <br /> 0. ABORESSEEY ADdtE55 fdaly /xaunred) ; ~ <br /> +, ~ P`~°~ <br />w <br />y ~ <br />` ,.,. <br />_ <br />j ). UNABLE TO OEUVER BECAIIaE: 7a 5 <br />• INfrwLS <br /> <br />a ~ <br /> <br />V ~ <br />~ - - <br />m P 397 ?-~5 566 <br />L REa'.EIPT FOR CERTIFIED MAIL <br />s NO IL'SURANCE COVERAGE PROVIDED- <br />N NOT FOR INTERNATIONAL MAIL <br />M <br />ti (Ste Reverse/ <br />sent to <br />state <br />Porbae <br />Cartl}latl FN <br />SPeciAl DallverY Fr <br />r <br />Reetrlcted DRI We _~ <br />J, ~ Return Receipt <br />tp whom end D <br />Code <br />rs., CO <br />~ Vaw, enO Aedreeel <br />°: TOTAL Poatpe • <br />R Postmark or Deta <br />E <br />o` <br />eL <br />t N <br />