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<br /> <br />~ i <br />;; SENDER: <br />v • Complete items 1 anNOr 21or atltlilional services <br />ra • Complete items 3, 4a. ono bo. <br />H • Print your name antl adtlress on the reverse of this form so Thal we can velum Ihis <br />taro to ou. <br />m ' • Attach this lone to the front of the mailpiece, or on the back it space tloes not <br />permit. <br />I ~ • nle 'Relum Reteipl.Requesleo'on the mailpiece below the article number. <br />r y • The Relum Receipt will show 1o whom Iha art¢le was tlelivered antl the tlate <br />I tlelweretl. <br />~ 0 3. Article Addressed lo: 4a. Article <br />9 Z <br />I~d Mr. Vernon R. Miller <br />I also wish to receive the <br />following services (tor an <br />extra fee): <br />1. ^ Addressee's Address <br />2. ^ Restricted Delivery <br />Consult postmaster for fee. <br />n j;, 4b. Service Type <br />~E 7433 South Road 157 ~~ <br />o -:~~ ^ Registered Certified <br />Strasbur CO 80136 <br />S ~ ^ Express Mail ^ Insured <br />~~ ^ Return Receipt for Merchandise ^ COD <br />ai <br />u <br />N <br />n <br />d <br />~I <br />d <br />rn <br />c <br />ml <br />of <br />T ~ <br />Y <br />m <br />!` <br />= PS Foim 3811, December 1994 lozses a -e-0sz9 Domestic Return Receipt ~. <br />I <br />O ~ _ 7. Dat0-of <br />5. Received By: (Print Name) .Address <br />6. Slgn e: (Ad ressee or Agen <br />o f~ <br />~j ~~ <br />~v ~.~ <br />