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10704 T ?eta' ';='�. 557 \' <br /> RECEIPT FOR CERTIFIED MAIL <br /> RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDED— <br /> NO ONSORANCE COVERAGE PROVED— NOT FOR OTTERNATRNNAL MALL <br /> NOT FOR OREANATMNAL MALL (See Reverse) <br /> 12 (See eve ) sErn To <br /> O P <br /> STREET ANO NO <br /> 5 ANDNO <br /> P,�—SIATE DZIP CODE <br /> P 0.STATE AND ZIP CODE a✓ J J ! �'/�i� <br /> POSTAGE $ <br /> POSTAGE $ CERTIFIEDFEE C <br /> W <br /> 1y CERTIpED FEE C 1! SPECIALDELIVERV C <br /> LL SPECIAL DELIVERY C r0 RESTRICTED DELIVERY C <br /> LL¢ RESRRICTEDDELIVERY C V. h t•J <br /> 0 1r=1 U U SFQWTQWFlC:.IAA9 <br /> per( V U SNOW TOl'MCLI AND h >�^: > DATE DELIVERED C <br /> I, > > BAN DELIVERED C Q r <br /> yWr SHOW TO I:MC::.DA FE. <br /> < W S, W TO Y/HOM.DATE. Y n MJ ADDRESS Ds C <br /> y AM ADDRESS OF C p jJ DELIVERY <br /> NO Z W DELIVERY G O U y�P:/T01'lH7:C aA'D DAIS <br /> F6- 0 W SHOW TO WHO.•d AM DATE j 0. M OOFU.IIVERYD I'.•IDI RESTRICTED CI <br /> ,.a p• ¢ DELVERED IR WMI RESCTED C so O ¢ <br /> z p 2 DELIVERYV AOORESS OF DELIVERY WITH C <br /> SHOW TO WIRDIA.DATE AM <br /> z yO;/TO YMD.Y..DATE AND O ADDRESS OF DELIVERY PATH C ¢ RES111ICIE0 DELIVERY <br /> U ¢ AFSTRICIFD OEIIVEAY n TOTAL POSTAGE AND FEES $ <br /> n TOTAL POSTAGE AND FEES $ a (/ m POSTMANA ORDAM <br /> m PDSTMARA OR DAIS S <br /> N0 SENDER: M- plete nerns I. :,and ;. <br /> to 4.SCNDEII_ Complete nem; I, anJ ;. u r Add your address in the •'RETURN TO space on <br /> Add your address in the "RETURN TO space on 3 NVefu' <br /> I. The following service 1s requested (check one). <br /> 1. The following service is requested (check one). s Show to whom and date delivered. .... . . .. . <br /> > Show to whom and date delivered. . . . . .. .. — ® Show to whom,date,and address of delivery. . a <br /> _ ® Show to whom,date,and address of delivery. ��� ` RESTRICTED DELIVERY <br /> RESTRICTED DELIVERY Show to whom and date delivered. 0 <br /> Show to whom and date delivered Q RESTRICTED DELIVERY. <br /> RESTRICTED DELIVERY. Show to whom•date,and address of delivery.$ <br /> Show to whom,date,and address of delivery.$ (CONSULT POSTMASTER FOR FEES) <br /> (CONSULT POSTMASTER FOR FEES) <br /> 2. ARTICLE ADDRESSED TO: <br /> 2. ARTICLE ADDRESSED TO: A.M.H. Corporation <br /> Raymond E Norma L. Seidler `n 1633-26th Street <br /> Z 403 36th Avenue Court a Santa Monica, California 90406 <br /> Is, Greeley, Colorado 80631 n 3. ARTICLE DESCRIPTION: <br /> T 3. ARTICLE DESCRIPTION: REGISTERED NO. CERTIFIED NO. INSURED NO. <br /> REGISTERED NO. CERTIFIED NO. INSURED NO. <br /> 04 <br /> w I >10 7 I C3 (Always obtain signature of addresses or agent) <br /> O <br /> N (Always obtain signature of addressees or agent) M 1 hav r ceived t article described above. <br /> m S I have received the article described above. c SIG TU E Addms,rr ❑ Authorizrd agent <br /> OSIGNATURE , ❑ Addrrasre ❑ AuthoriZrd agent <br /> N D <br /> , E DELIVER _ <br /> m , DATE OF DELIVERY- L PDBTMII OCT 2 - 19J cy <br /> p 6 > <br /> ADDRESS (Complete only if regwsr <br /> = 6. ADDRESS (Complete only if nquesta C� <br /> O 4 <br /> 0 � s <br /> In <br /> In `J` i <br /> - 6. UNABLE TO DELIVER BECAUSE: I CLFAK-S <br /> 6. UNABLE TO DELIVER BECAUSE: iNfTIsCL$/ ; �,� ITIA <br /> QPD:IM1 23e-331 <br /> S}GPO 1971-0231-337 <br />