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Z 19~ 155 23[7 <br />US Postal Ser <br />Receipt f <br />No Insurance i Gene F Sampson <br />no nar um rm <br />m <br />6 <br />G <br />0 <br />M <br />0 <br />a <br />tto Loveland, CO 80537 <br />Shoat A Number <br />Pact Olece, Stag <br />Postage ~ -_ a-_~ <br />CeNfled Fss r ~./~ <br />, ` <br />Spedd Delivery Fee <br />RssMaed Dehery Fee <br />~ <br />o <br />o <br />gro ~ <br />~` <br />tta <br />t. <br />eu . <br />~ <br />Reesn Pe<dq 51oei4 to M1ivn, <br />DaIe,AAdaeaNe Adam <br />TOTAL Paserge 6 Fees <br />Pwtmals or Date <br />t~~~`~o <br />l`a your RETURN ADDRESS completed on the reverse slde7 <br />NI Oil NI (~I a~se"9>n vOnT <br />Z 19~ 155 232 <br />US Postal <br />Receip <br />No Insuran James H 8 June A Elljah <br />Do not use 307 Eunnnn n. <br />n <br />r <br />.~ <br />p< <br />O <br />W <br />a <br />~'t to Loveland, CO 80537 <br />Shad 8 NW <br />Past Offim, <br />Posuge 'j 3 <br />CeNged Fee <br />Spedd Delivery Fee <br />Restriaed DeOvery Fee <br />Retum Recdpt Showhg m ~J <br />Wnam 8 Dde DeAvered r/ <br />Feodn Fenpl3~iq a Ymort, <br />Dde, 8 Adaesseds Addea <br />TOTAL Postage 8 Fees <br />Pasimadt or Dete <br />~{~z~~ro <br />la your RETURNET4RiN ADDR~~ completed on the reverse slds7 <br />H o, en ym •e, ~{• yQ~^ <br />o ~C n ~ o a ~~~9~$3~m <br />g.~e <br />~~ n `m5 6 Ra*3 ~~i.. <br />-. 4l 1. ti <br />~ ~ b ~ ~ ~F~ <br />3 <br />g ~ ~ ~ m ~ ~~ ~ ~~d <br />a ~~ ~ ~ <br />l ~ 5 A <br />m g 8 <br />1 a <br />~$~~ <br />m ~ ~o a ~ ~ ~~ ~ ~ <br />~~ m y a~ <br />m ~~~ m~~~ g ~ ~ <br />m <br />~ e,_ t m ~ ~ z <br />'g ~ <br />Q ~ a~ <br />o 0~ ~Q@ ._ <br />~ N <br />X <br />X ~ <br />O q a v ~8 <br />`~ ~ <br />__II ~ m ~ O~ <br />~ ffi <br />^ <br />^ ®. N a; O a ~~~a ~ ~ <br />pO <br /> p <br />o <br />3 . <br />~ o L <br />a~ <br />n $ ~ <br />Thank you fo r uaing Retu m Rec eipt Servle~. ~ , ~ ~ ~ <br />Thank you for using Ratum Raealpt Sarvffe` 1, g ~ j ~ <br />