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111111l11111!!IIlII <br />slNDER: I also wish to receive the <br />! •Complele items 1 andlor 2 for additional serviCee. <br />~ ^t:omplele items 3, 9a, and 46. - fOIIOWIn Services for an <br />g { <br />~ •Me your name end edtlresS al the reverse of Inis lomr so Ihel we can return Ihis extra fee): <br />~ 4tl fo you <br />! ^AMCh Ihis form to the Iront of the mailpiece. or on the hack it space does not <br />1. ~ Addressee's Address ~i <br /> <br />r: <br />ppw~nmnil. <br />~ •Nhke'RBIUIn Recept RequeSfed'on the meilpieee below the adiele number 2.^ Restricted Delivery r~ <br />~~ <br />• The Refum Receipt wiN show Io whom the article was delivered and the dale <br />a.evered Consult postmaster for fee. JS <br />'~ 3. Article Addressed to: 4a. Article Number ~~ <br />Mr Jerry Powers P 436 785 316 !~ <br /> <br />Cotter Corporation <br />ab.ServiceType ~ e <br />3 <br />12596 W Bayaud Ave Ste 350 ~i, ,~ <br />^ Registered , <br />~ Xf~ed <br />Lakewood CO 80228 Y <br />~ <br />^ Express Mail ensure <br />' '~ °1 <br />/1 <br />L7 Return Receipt for Merdt`~e ~QjQD <br />or <br />7. Date of Delivery ~ S <br />~USFS o <br />8. Addressee's Address {Only if requested Y <br />and lee rs pard) a <br />PS Fam 3Q11, December 1994 <br /> <br />r ozses-sesona <br />r~ P 4'36 785 316 <br />NUS Postal Service <br />«,rteCetpt Tor Certified Ma 13 <br />No Insurance Coverage Provided. <br />~ ~ S <br />Do not use (or Intemafional Mail See rule ~ <br /> FFPtteJerry Powers N <br />t <br />c ~~~~~v~`Bay t 3 <br /> <br />Q PostOtace, SLtta, 6 P C '~ <br />LLakk <br />dd <br /> ewoo <br />~ <br />~~-- Peerage rn ~1 ! ~ <br />CV <br /> wed Fee ~ rJ;,l .,~.' "/ <br /> Spedal Delivery Fee J jam. <br />C <br /> Restdaed Oefvery Fee <br />r$ Refum Receipt 57awing to / '~ <br /> NRam 8 Dab Delivered <br />-g Resnn ReroptShwnypeTnm, <br />l <br />' <br />! Dare,6Adtrevee'sAddress <br />~ <br />y r <br />+ TOTAL Postage 8 Fees a 3 <br />(~ ~_ <br /> Postmark w Dete <br /> <br /> <br /> <br />L <br />f <br />