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<br />Z 329 232 091 <br />m <br />m <br />Q <br />O <br />O <br />W <br />P7 <br />.€ <br />ti <br />6 <br />US Postal Service <br />Receipt for Certified Mail <br />No Insurance Coverege Provided. <br />n,. ..,a , e b.. r.ao,.,eennwl Mwil /.Cm mvarcwl <br />Sent to <br />~ <br />B r <br />Stroll 8 Number <br />y T., <br />Post Office, State, 8 ZIP e <br />Co SO <br />Postage a 33 <br />Certified Fee <br />Spedal pelivery Fee <br />Restricted Delivery Fee <br />Retum Receipt Showing to <br />Whom 8 Date Delivered <br />Retum Receipt Shavig m YAgm, . <br />Date, B Adtressees MNess - ~ ~ <br />TOTAL P,xtage d Fees a ~i~ <br />aasonad or Date v ~ /~ <br />1 <br />/4n / r / <br />- <br />s~ <br />; <br />. <br />n <br />~ - <br />~'C ~1'r~ <br />-... .~_ L.i _-'a~~.. ... <br />., Y.. <br />- _~"q `~'~1_~ <br />o ~.~..i ..~~:Soa~~, -- fe Gtr P <br />~ ~.~.. _-a..~ <br /> <br />m <br />v <br />SENDER: <br />I also wish to receive the tollow- <br />N ^ Complete gems t andlor 2 mr adtlilional services. ing services (for an extra fee): <br />m Complete items 3. 4a, antl aD. <br /> ^ Print your name antl atldress on the reverse of Ihis torn so Thal we can slum tnis 0 <br /> ca.d to you. 1. ^ Addressee's Address `-' <br />` D Anach Ihis lonn to the Irom of the maApiece, or on the back d space ones not <br />n <br />l <br />2. ^ Restrictetl Delivery Z <br /> . <br />pen <br />, <br />^Write'Relum Retepl Requesletl'on the mailpiece below <br />me article number. y <br />t ^ The Retum Receipt wdl show to whom the article was delivered antl the dale n <br />o Oelrvered. o <br />0 <br />°m 3. Article Addressed to: 4a- Article Number ~ <br />m <br />n z 3 oa <br />~ <br />E Ab. Service Type w <br /> Mr. Glen Miller ^ Registered ~Y(Certified ~ <br />y 1048 Independent Ave <br />A-10 ass Mail ^ Insured <br />N <br />~ <br /> <br />o , <br />Grand Junction, CO 8150 ~ ^ eceipl for Merchandise ^ CQD ~ <br />F <br /> <br />~ ~ <br />7. Date livery ` <br />, <br /> <br />A / <br />J <br />4• <br />0 <br />'' <br /> v <br />By: (Print Na <br />5. R <br />ed <br />m <br />e) <br />ec~ei ~ A~elres~e Address (On y it req sled and c <br /> // <br />~~ <br />~~ <br />/ <br />~ <br />/ <br />f~~~ <br />V <br />~ <br />' ~ is p~d ~ <br /> l <br />V <br />U <br />• M ~ <br />~ 6~Signature essee or Agent) <br />~ ~ <br />r <br />`;' <br />li! <br />m i7' `~~ ~ <br />PS Form 3811, December 1994 -~ "~-- mzsss se-e~asza Domestic Return Receipt <br />