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_--_.___ <br />P 500 411 555 <br />US Postal Service <br />Receipt for Certified Mail <br />No Insurance Coverage Provided. <br />Do not use for Inlemalional Mail See rev <br />SeN to <br />Riche rd & Margaret <br />Postage $ r d <br />Cedified Fae , / U <br />Spedal Delivery Fee <br />Restricted Delivery Fee <br />N <br />~ Relum Recdpt Showing to ~ /d <br />Whom 8 Date DeGVered <br />O TOTAL Postage 8 Fees I $ •S~ <br />~ ~ <br />Postmark or Data ~- ,1,~ U <br />7/~ Y <br />ti !lL 3 <br />N <br />a G: <br />~~ <br />;; <br />;O SENDER: <br />•Camplele items f anNOr 21or adtlibonal services. <br />19150 Wish 10 reC¢IVB the <br />H .Complete items 3, 4a, and 4b. following SefVICBS ((Of an <br />a .Print your name end address on the reverse of this loan so that we can return this eXtra fee <br />~ <br /> <br />~ card to you. <br />•Anach this loan to the Iront of Iha mailpiece, or on the back it space does not <br />1. ^ Addressee's Address ~ <br /> <br />u permit. ~ <br />.Wrile'Rerum Receipt Requesfed'on the mailpiece belowthe anicle number. <br />2.~RBStdcted Delivery d <br />y <br />t. • the Return Receipt will show to whom the erode was tlelrvered a nd the date <br />° <br />~ tleliverea. Consult postmaster for fee. <br />.~ <br />' <br /> 3. Article Addressed lo: 4a, Article Number <br /> <br />a Richard & Margaret Capek P 5 0 411 E <br /> <br />0 <br />3408 Northridge 4b. Service Type <br />d <br />u <br />Pueblo, Co. 81008 ^ Registered ~] Certified ~ <br />rn <br />rn ^ Express Mail ^ Insured <br />W <br />^ Return Receipt for Merchandise ^ COD of <br />' <br />0 7. Date of Delivery 3 <br />z 3~ U-q ~ <br /> . <br />~ 5. Received By: (Pont Name) B. Addressee's Addees (Only it requested ~ <br />~ and lee is paitl) t <br /> <br />~ 6. Signature: (Addressee or Agent) <br />i. <br />N X ~• <br />PS Form 3811. December 1994 \I Domestic Return Receipt <br />