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~~ '=% <br />Z 217 446 293 <br />US Postal Service <br />Receipt for Certified Mail <br />No Insurance Coverage Providetl. <br />Do not use for International Mail See re vE <br />Sem to ' / ~ <br />Sheerd Nurnben " ~ r <br />1 i~ ,,'_ <br />Post Odicft, State, d Z P Code <br />"` i <br />".r, _ <br />Postage a <br />CeniLed Fae ( =~/( <br />Speaal Delivery Fee <br />Restndetl Delivery Fee <br />m <br />~ ReWm Receipt Showing ra ~ ~ <br />Whom d Dare Delivered _ <br />n ReWm Raceol SlnweMl to YRtotn, f-'T _ <br />TOTAL Pastege d Fees a ~ - <br />~ Postmark or Date <br />0 <br />LL <br />a ri/ _~.t ll. _t_ ). <br />r ' <br />Z 217 446 29^ <br />US Postal Service <br />Receipt for Certified Mail <br />No Insurance Coverage Provided. <br />nn nnl.um Inr Intwmalinnal Mwil /Saw rwvwrswl <br />m <br />m <br />m <br />Q <br />Q <br />O <br />O <br />M <br />E <br />`o <br />LL <br />0 <br /> <br /> <br /> <br />a SENDER: I also wish tD receive the <br />v <br />` .N . Complete hems ~ anmor z for anamonai services <br />• Complete rlems 3 4a ano 4b lollo•Nln services for an <br />g ( <br /> • Pnnl your naive ana aor)rass Un the reverse of tn~5 loan su In al :"e cart return this exua feet: <br /> <br />w tarn to you <br />~ Auacn this loan to the trorn of me mailpiece. or un Ina oau l <br />space Does not <br />I . ^ Adtlre55ee'e Atldress <br />~ . Wri a I"Rawm Receipt Repuesreo' on the mailpiece bemw the aniCe numoer 2 ^ Reslnctetl Delivery rn <br />f <br />f t • The Reurn Receipt will show to whom the article was delivar <br />i etl and Ine dale Con SUlt OStmaSler rot tee <br />P $ <br /> <br />del <br />vered . <br />0 3. Article Addressed to 4a Article NumGer <br /> <br />~d <br />Thaddeous M. 6 Susan Kocol r <br />~ / '`!' / r <br />c 11101 Brighton Road 4b. Service Type <br />1 g Henderson. CO 80640-8931 ^ Registered l~Cenified ti <br /> ^ Express Mail ^ Insured ~ <br /> ^ Return Receipt for Merchandise ^ COD ~ <br />1 7. Date of Delivery o <br /> ~ ~ <br />1 0 <br />I <br />5. Received 8y'. (Print Name) <br />B. Addressee's Address (Only i/ requested a <br />,r <br /> and lee is paid) ~ <br /> H <br /> 6. Signature; /Addr seelor Agent) <br /> <br />`-" PS Form 3811, December 1994 102595~96~B~e229 pomestic Return Receipt <br />Sent to <br />'I- C. <br />Street d NumIW r <br />Po lice, Stale, d I ,Code ~ <br />- <br />~ <br />Posstage ~ S ' - <br />Cenfied Fee =~~/' ,~ <br />Spedal Delivery Fee <br />geslrlcled Delivery Fee <br />Rerum Peceipl Showing to 1 ' <br />Whom d Dare Delivered <br />ReWm Rtteipl Showing 10 Wlidh. <br />Dale, B Addiesscss Aderess <br />TOTAL Postage d Fees § , ' ~ .'I <br />Postmark or Dale <br />~i <br /> <br /> <br />