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• <br />P 5170 411 557 <br />US Postal Service <br />Receipt for Certified Mail <br />No Insurance Coverage Provided. <br />Do not use for International Mail (See reversse <br />91 <br />9 <br />N <br />T <br />m <br /> <br />a <br />Q <br />C <br />O <br />m <br /> <br />E <br />li <br />y <br />a <br />°' SENDER: <br />01 <br /> <br />v <br />•Complele items 1 and/or 21or atltlitional services. I also wish to receive the <br />~ •Compfete items 3, 4a, antl 4b. }OIIOWIng ServICOS ((Or an <br />w •Pnnl your name and atldr¢ss on the reverse of this lone so that we can return this extra fee <br />~ <br /> <br />j card to yov. <br />•Mach This loan to the trout of the mailpiaca, or on the ¢ack it space does not <br />7, ^ Addressee's Address ei <br />~ <br />d <br />y permit. <br />•Wnle'Relum Aeceipr Requesred'on the mailpieca below the a <br />rticle number. <br />2.^Restdcled Delivery ~ <br />m <br /> •The Relum Receipt will show to whom the snide was delivered and the tlate <br />~ delivered. Consult postmaster for fee. <br />, <br />°~ <br />o <br />v <br />3. Article Addressed to: <br />4a. Arficle Number ~ <br />v <br />m <br /> A.T, & Carole McCulloch E <br />E <br />o 1655 Timber Valley R(? 4b. Service Type <br /> <br />u <br />m <br />~ ~ <br />Colorado .apgs Co 8091'9. ~ <br />^ Registered ~ Certified Q <br /> <br />~ <br /> <br />rn <br />_ - <br />^ Express Mail ^ Insured _ <br />W <br />~ <br />^ Return Receipt for Merchandise ^ COD N <br />.Q 7. Date of Delivery <br />Z ~ o <br />T <br />~ Rec ived By: (Plinf erne) 8. Addressee's Address (Only it requested ~ <br />~ and lee is paid) _ <br /> r <br />g 6. Signature: (Addressee or Agent) <br />i. X <br />m <br />Ps Form 3811, December 1994 Domestic Return Receipt <br />Sent to <br />A.T. 8 Carole <br />McCulloc <br />Slreel B Number <br />1655 Timber <br />Valley Rd <br />Past Office, Stale, 8 ZIP Cotle <br />8 <br />Colorado S rin s Co <br />Postage ~ , 3 <br />Cenifed Fee , y ~j <br />Spedal Delivery Fee <br />Restntletl Delivery Fea <br />Retum Receipt Showing to / U <br />Whom 8 Dale Delivered <br />Rewm Re-e~pt ~l~f, <br />bale,6lddr O~~l <br />TOTA ' e ~ ~j ~Sa <br />Dat <br />~ <br />r <br />g <br />Pos ~ <br />= <br />C <br />~y}l~ <br />1 <br />~ <br />7 <br />ry 1`iV <br />1 <br />~1. P <br />