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G <br /> <br /> <br />Z 182 451 250 <br />US Postal Service <br />Receipt for Certified Mait <br />No Insurance Coverage Provided. <br />^n nnf usw fnr Inlnmational Mail /See reversal <br />N <br />m <br />.Q <br />pQ <br />O <br />1~L <br />a <br />I also wish to receive the <br />following services (tor an <br />extra fee): <br /> <br />1. ^ Addressee's Address U <br /> <br />2. ^ Restricted Delivery ~ <br />i <br /> n <br />Consult Dostmaster for fee. o, <br />d <br />H <br />k 2182451250 ~! <br />a omer t40n <br />s Construction Iv ab.servicerype 5 <br />e P.O. Box 1207 <br />^ Registered ~ {~, Certified <br />o Li,non, CO 80828 ^ Express Mail ^ Insured ~ <br />w ^ Return Receipt for Merchandise ^ COD ~ <br />0 7. Date of Delivery <br />° ~ . icy <br />~- <br /> . <br />. o <br />¢ 5. Receivetl By: (Print Name) R. Addressee's Address (Only i/requested y <br /> and lee is paid) n <br />w t <br /> 6. S' ~ Addressee or A ent) ~ <br /> <br />o <br />~ <br />T _ ~~ <br />- Ps Form 3811, ec bet t ssa rozsss 9a a-ozza Domestic Re[um Receipt <br />• <br />Sent to <br />ns ction I <br />Stree18 Number <br />P.O. Eox 1207 <br />Post Office, State, 8 ZIP Cade <br />Limon CO 80828 <br />Postage a 33 <br />Certified Fee <br />Spedal Delivery Fee <br />ReslddM Delivery Fee <br />Retum Receipt S o ~ ~~ <br />Whom d Da <br />f1eWm Ra p <br />Dale, 8 rem ~/ <br />TOTAL , ge F ~ <br />Posbna or Ia <br />p <br />~y ~a~ <br />4 <br />c <br />u/1~9 <br />;; SENDER: <br />~ ~ • Complete items tand/or 2 for add~Gpnal servrces <br />n • Complete items 3. 4a. and 4D. <br />e+ • Print your name antl atldress on the reverse of This form so Ihal we can return this <br />~ cartl to you <br />d • Attach this form fo the front of the manp~ece. or on tae back it space does not <br />~ y permit. <br />• Write Wetum fleceip( Requested' on Ne mailpi¢c¢ Delow the article number <br />r L • The Return Receipt will Show to whom the an¢ie was d¢hvered and the tlale <br />tleLVeretl <br />0 3. Article Addressed to: 4a. Article <br />c <br />