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<br /> <br />SENDER: <br />• Camdete item. lend/or x far edditicnel eervicn. 1 alto wish to receive the <br />• ComDNt• item. 3. and •• 6 e. following services Ifor en extra <br />• Print your name and edtlreu on tM bverea of thle lam eo that w• can <br />hi fN11 <br />r•tum t <br />s card to you. <br />> • Attach this form to the Irons or the meilpi•c•, a pn tM Deck i <br />t ep•u <br />1. ^ Addressee's Address <br />f <br /> <br />dose rwt Permit. <br />i <br />• • <br />" <br />" /1 <br /> <br />rl <br />Return Rece <br />Wdb <br />ptReque•ted <br />on themeilp•u Wbw tM ertkN numur 2. ^ Restricted Delivery <br />• TM R•tsxn Receipt wdl show to whom [M erticM wu MNvr•d a nd the dab <br />u tl•livr•d. Consult oetmester far fee. <br />3. Article Addressed to: 4a. Arti cle Number <br />W a '~ G <br />ills IV o <br />James M. <br />Joan C. Wi 1 t s 4b. Service Typs <br />^ Rsgisterod ^ Insured <br /> 4710 Vista View Ln. ~ csrtiTied, ^ c0D ~• <br /> Colorado ~r ingsr CO 80915-IOAO ExPrees Mail ^ Return Receipt for 3 ~ <br /> Merchandiw ~ <br /> ll <br />C~ <br />of Delivery i <br />f <br /> ~A <br />_ 5. Si ure IAddresseel y ~ Ord 's Address (Only if requested <br /> .p tL a~ is Psidl I <br /> <br />•y + <br />gnature IAgentl ,,(~ <br />n V" <br /> J <br />_• F5 form 11, December test d U.9.O.P.O.:1sgQJ07 .•a0 DOMESTIC RETURN RECEIPT <br />Oirn'rc~-: 46 <br />Outer: 47 <br />See owner 35. <br />N <br />O1 <br />C <br />0 <br />O <br />M <br />0 <br />N <br />a <br />P 1,26 569 c59 <br />Receipt for <br />Certified Mail <br />No Insurance Coverage Provided <br />~ Do not use for International Mail <br />~~ ISee Reversal <br />sem ro <br />'1U d I <br /> <br />Sv and No <br /> <br />P.D., s,a,e entl Z,P Cotle <br />C Co o <br />Postage <br />a <br />Cerulietl Fee G~ <br />$Peciel Delivery Fee <br />Restricted Delivery Fee <br />Realm Receiol showmq / <br /> <br />to Whom L Date Delnwetl ~ <br />Rewm Receiel <br />" <br />. <br />Da,e, antl AU ~ d, <br />TOTAL Post Z~w <br />I ~ fJ <br />8 Fees <br />Postmark tee <br />r <br />~ <br />~ ~ <br />~ <br />J~ y <br /> <br /> C <br /> <br />