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r. <br />DER: <br />'q • Complete Itame 1 en for etlditlonel services. <br />~ q •l Complete Items 3, an e 8 b. ' <br />I (+ !'Print your name end etldrw on the rereree~ol this <br />qtr tum, pde cam to you.: tip; .. ~ ~ '' ~. '.f'::~: <br />r `}.•~Anech thle Icnn to the front of the.meilplece,'.er I <br />aoee no[ Permit:' :. . ; j 9j.ti..;T. '' .;; •; •, ~'~'.t~' <br />~, t ; ~• Wrlu "fletum flecelpt Repueeted" on the msllplece I <br />!' •'~ The Retum flscelpt will chow to whom the srticle wr <br />S ~ dellveretl.' ~~s+l+~+.;.x. re°:•o,,,~.. ^. [, <br />v ,`3. Article Addressed.to:i,:? ~'=°..'~:`ro~ <br />a i Robert O. Nelson •" t <br />E; <br />~ 7497 Weld County Road 26 <br />f/1 <br />uyil ~ Longmont, CO 80501 <br />¢, <br />._....e..... ,. , <br />F 'v . <br />R 8. _Signature IAgentl ~'~r :~; ~~.~. <br />~ ~~, ..~. ~ c• <br />.:~~S Form 11; December~+199 <br />L`":°`.~-~~~~J~~,- ~ I ale h to racelve the <br />~' ". ~<.:a; ~•~~ Yollowin rvices (for an extra <br />i`~so that we can°' ' ~.' . <br />psi .`::f" ~Yf`•: F'; .`~~ • .. , 0 , <br />becx Ir.epece l,..:,,.'_ jt.: C~.Addressee•s Address y <br />the ankle number. ': k2• ^, Restricted Delivery ~ o <br />yeretl snd the Aete ~ - to <br />'•d•••'~+!•:;z'~:~,• ~ConsulY ostmester /or ice. q <br />J!~, :,4e:;Article Number <br />:.: E <br />>; `p"15'7 <br />' :4b:• Service Type '~' ~ q <br />'; ~^ Registered ,:` ~^ Insured <br />_~a ~ <br />'^ Express Mail %"';.^ Return Receipt for ~ <br />' - ~ M rchandis <br />7. Date of Delivery !o- <br />1 g'`3 -~~ <br />8: ,Addressee's Address (Only If requested ~r <br />-hand fee ~Is paidl''"~ ~ <br />`.~~ r. rj .~' I i I ; <br />I~ssaT~ely DOMESTIC RETURN RECEIPT ' <br />iehrto, receive the <br />. I <br />~rvices ~Ifor an extra ~ <br />dreseee's Address ' <br />rtricted Delivery .';; •~ . <br />[mestel' for fee: ~'+•. q <br />+ ,t E <br />COD ~'-f _;3;5 i,-..y<~. m <br />~Returri Receipt.foP-' ~ <br />Merchandise "•'~%'•'~ o <br />o <br />rse (Only If requested at <br />m <br />i• <br />l Fi ~.i .FC¢'¢.., ,~.. ' <br />Harold E. 8 LaVema+Nt'Ison <br />11955 Weid County Road 15 <br />Longmont, CO 80501 <br /> <br />IETURN. RECEIPT <br />- z„,. ... <br /> <br />wi <br />f <br />t <br />n':•t <br />? <br />a <br />ve <br />o . rece <br />tna <br />, <br />~ <br />g?sewices afor an:extre <br />'~ <br />4Addl;as6tia•9 <br />Addr9aa M <br />Restricted <br />Detivery <br />~~ <br />', io <br />. <br />, <br />, <br />, <br />postmaster ftir~fee?~ m . <br />~ ... :.: r.y~ ~~ <br />l44`~89~ -J" , <br /> <br /> <br />^ Insured ~'• ~`'"'~ • <br />k .. <br />^COD_ ~~ c <br />i,~. ^ Return Receipt for ~ <br />Merchandise $ ' <br />it ~' •. <br /> 0 <br />ddrese (Only Jf requested Y <br />z..[ <br />«yAr.. <br />! fi <br />' C <br />L <br />.. <br />r <br />.. <br />`s Fes' <br /> <br />