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<br />m <br />m <br />.o <br />G <br />O <br />m <br />fv1 <br />li <br />a <br /> <br />Z 182 451 252 <br />US Postal Service <br />Receipt for Certified Mail <br />No Insurance Coverage Provided. <br />n.. nnl ~.m fnr Inrwmatinnal Mail /.Sww rwverswl <br />Sent to <br />Sveeld umber <br />n R <br />Pall Office, Stale, 8 ZIP Code <br />Postage $ 33 <br />Certified Fee ~(~ <br />Spedal Delivery Fee <br />Restricted Delivery Fee <br />Relum Recdpt Showing to <br />Whom 8 Dale Deliveretl cJ <br />Realm Rx ' <br />Date, 8 <br />TOT Po ~ps <br />Pos 'rD en l r <br />V) (j C <br />~.~~' <br />~ <br />.y <br />~r <br /> <br />;; SENDER: <br />i v • Complete items 1 actl/or 2 for atld~lional services. <br />' v+ • Complete items 3. 4a. and 4b. <br />~ • Pnnt your name antl atldress on the reverse of this form so Thal we can velum This <br />card to you. <br />L • Attach this form [o the Irom of the mailpiece, or on the back it space tloes not <br />perrtNt. <br />~ • Write 'Refum Receipt Requesled'on the mailpiece Delow the awi<le number. <br />J= • The Retum Receipt will show to whom the aniUe was tlelrvered and the tlate <br />tleliveretl ' <br />0 3. Article Addressed to: 4a. Article <br />v <br />v <br />n Floyd C70ck 4b. Servccf <br />I also wish to receive the <br />following services (for an <br />extra fee): <br /> <br />1. ^ Addressee's Address u <br /> <br />2. ^ Restricted Delivery Z <br />r <br /> n <br />Consul) postmaster for fee. n <br />47760 Frontage Rd ^ Registered <br />Limonr CU 80828 ^ Express Mail <br />^ Return Receipt for Merchandise <br />0 7. Date of Delive <br />5. Received By: (Print Name) B. Addressee's Address (Only <br />F and lee is paid) <br />6. Sign re: (Addresse~Agenf <br />o /y <br />T <br />u <br />m <br />~1 Certified ~ <br />^ Insured ~ <br />^ COD ~ <br />~ o <br />n <br />~_ o <br />requested m <br />c <br />m <br />r <br />'" Ps Form 3811, December 7994 102595 9e a 0229 Domestic Return Receipt <br />