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C• <br />O <br />9 <br />h <br />m <br />.~ <br />Y <br />m <br />t. <br />0 <br />m <br />d <br />a <br />0 <br />N <br />0 <br />O <br />Q <br />Z <br />F <br />w <br />9 <br />0 <br />r <br />m <br />•COmplate items 1 Bndor 2 for additional services. I x150 Wlah t0 feCBiVB thB <br />•Complela items 3, 49, and 4h. f0110W1ng SarVICBS (f9f an <br />ou <br />r <br />neme end address on Iha reverse of this form so That we can return this <br />• Bxtra tea): <br />o <br />l <br />card o <br />Y ~ <br /> <br />•~ <br />e <br />c i leis form to me front of Iha mailpiera, or on the back If space doss not <br />t , ^ gddresSeO'S AddrBSS o <br />r <br />m ~ <br />•Wdte'Retum Receipt Fequested'on the mailpiece below the eniGe number. 2. ^ Restricted DBlivery y <br />•The Return Receipl rriN show to whom the amtle was delivered antl the tlate <br />der~ered. Consult postinaster for fee a <br />DIA1~ E ANDERSON <br />THANE R ANDERSON <br />25635 ROVIT COUNLY GOAD 33A <br />PO HOX t80Ci37 <br />3TEA1fl10AT SPRRrttiS OD 80188 <br />X <br />or <br /> 'u <br />4a. Article Number y <br />z i g) 59 8 55D <br />4b. Service Type ~ <br />Y <br />~ ~~ <br />^ Registered L~YC:eAified <br /> <br />^ Express Mail ^ Insured rn <br />5 <br /> <br />^ Return Re eipt for Merchandise ^ COD er <br />7. D to of alive <br /> i <br /> . <br />. Add essee's Address (Only it requested ~ <br />and lee is paid) t <br /> t- <br />PS Form 3811, December 1994 <br />rae..~~-98-05~ ;F Es~~ - - - - <br />'e fi I IS Postal SBNICB --- ~ <br />Receipt for Certified Mail O ; <br />No Insurance Coverage Provided. <br />Do not use Itir IntemeBonal Mail See reverse I <br />DIANE E ANI7FBSOIN~ -- - - <br />IHANE R AIrIDFR4ON <br />23633 BOUC[ OO1)NIY ROAD 33A <br />PO BOX 8803'37 - <br />yIp,AI~~OAT SPRSNOS CO 80488 <br />l'osNpe S <br />Certified Fee <br />Spedd DdNe7 Fee <br />~~ MI _ ~ <br /> <br /> • <br /> , <br />$~ V <br />\ <br />s <br />`~ ~ \ <br />\ `~~ 1 <br />~~ <br />H I a ~ <br /> .s - <br /> ~ <br />~ $ Z r m <br />~ <br /> <br />x • <br /> <br /> <br />LL € <br />~ <br />^ <br /> <br />~ e <br />~R ~ <br /> <br />a ° <br />o <br />rn <br />i~ <br />~ B ~ <br /> <br />~ E <br /> <br />~ <br />¢b <br />¢ <br />J <br />~ <br />~ <br />~ ~ ~~ ~~ ~ <br />N fn <br />R c i <br />ti • ~ Rm envy I. ~ Sd <br />DMG-1313 Sl e~mal , <br />U m <br />N m <br />f • <br />N ~ m <br />U ~ 'O a ~ <br />a~ d>~ <br /> 2- <br /> <br />ri ag <br />V m E <br />Q.. <br />~ m V > m <br />Z <br />~~~ <br /> . <br />NY <mf <br />N ~' <br /> ~ <br />a t <br />1 . <br /> . <br />c <br />d <br /> 71r.2~ <br /> <br />