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• <br /> <br /> <br />;; SENDER: <br />a .Complete items 1 and/or 21or additional services. <br />m .Complete items 3, da, aM db. <br />o • prim your name end address en the reverie of Chic lomt ao loaf we tan return this <br />•r card to you. <br />~ •Anach This form to the front of the mailpiece, or an the back it space does not <br />d permit. <br />y • Wdte'Rerum Receipt Reques(ed' on the mailpiece below the anicle number. <br />.The Return Receipt rill show to whom tha snide was delivered and the tlate <br />C Oeliveretl. <br />o T <br />v .<. <br />Y <br />d <br />r <br />$.. <br />W <br />0 <br />a <br />5. <br />F <br />~ 6. <br />0 <br />T <br />A <br />Mr. Ken Klco <br />Azurite, Inc. <br />P.O. Box 338 <br />Cotopaxi, CO 81223 <br />PS Forth 3811, December 1994 <br />I els0 wish to receive the <br />following services (tor an <br />extra tee): ai <br />1. ^ Addressee's Address •°- <br />Z <br />2. ^ Restricted Delivery rn <br />Consult postmaster for fee. n <br />. <br /> ~ <br />4a. Article Number <br />' & <br />z <br />~~~so cy9o c,-to <br />4b. Service Type <br />m <br />^ Registered ~ Certified ~ <br />^ Express Mail ^ Insured ~ <br />N <br />^ Return Receipt for Merchandise ^ COD <br />7. Date of Delivery f <br /> <br />/-ao -~~ 0 <br />r <br />8. Addressee's Address (Only i! requested ~ <br />and !ee is paid) i <br /> H <br /> <br />