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• I <br />f <br />SENDER: <br />• Complete Name t entlfr Z ror etltlitianel rrvicee. I also wish to receive the <br />• Complete N•me 3, end'Ce 8 b. ,, following services lfor en Barre <br />• Print Your name end erMrrise on the r4yana or this loan eo that we can }Bel: <br />ratum [hie cartl to you. < <br />• Attach this form to tM~frrnt or the m~ilpiece, or on the Deck N apace 1. ^ AddrBSSeB'e Address <br />tloea not permit. ~ ~ <br />-• <br />• Wrhe"Retum Rauipt Repuaeted"on the meilpiace Wbw the arpcle number 2 ^ Restricted Delivery <br />• The Retum Receipt Fea will provide YOU the eienetura of the parson delivers _ . <br />Article Addressed to: 4a. Article Number <br />P NE RIVF~ SCS P 992 068,.164 <br />o ML~LLE HINDSLEY 4b. Service Type <br />^ Registered ^ Insured <br />31 Suttle~Street L~1YCertiffea ^coD <br />Durango, ~~ 8I3~1 ^ Express Meil ^ Return Receipt for <br />Merchandise <br />ate ai D~ery \ O ^~ <br />'~. Signature IAddresaael 8. Addressee's Address (Only if requests <br />end fee ie paid) <br />i. Signatur IAgen <br />C\ ~C_i L <br />~ F5 Form 381 7, November 19D0 sus. elro: toet,asrme <br />l <br />