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A <br /> <br /> <br /> <br />d SENDER: I also wish to receive the <br />9 <br />b • Complete items 1 enNOr 21or additional services. <br />• Complete items 3. 4a, end 4b. lollOV/ln SBNiCeS loran <br />g ( <br />~ • Pnnt your name end address on the reverse of this lorm so T hal we can return This a%Ifa lee): <br /> <br />w card to ou. <br />• Attach Ihis Corm to the Imnt of the mailpiece, or on Ne back it <br />space does not <br />t. ^ Addressee's Address ~ <br /> permit ~ <br />• Write 'Relum Recerpf Requesred'an the meilpieca below the edicle number 2. ^ Restncled Delive <br />rY d <br />u . <br />• The Relum Receipt will show to whom the article was delivered end the dale <br />delivered. <br />Consult ostmasler for lee. <br />P N <br /> <br />6 <br />0 3. Article Addressed to: 4a. Article Number u <br />'~ <br />Neal Prussman Z 380 709 525 ~ <br />a 24359 County Road 21 4b. Service Type <br /> Haxtun, CO 80731 ^ Registered ~ Certilied <br /> ^ Express Mail ^ Insured ~ <br /> ~ Retum Receipt for Merchandise ^ COD ~ <br /> e of Delivery <br />7. Dat <br /> / <br />Co ' ~ - ~' ~ <br />0 <br /> 5. Received By: (Print Name) 8. Addressee's Addres Only i/requested x <br /> and lee is paid) ~ <br /> <br />6. Signature: (Addre rAgent) r <br />~' <br />'o X <br />T <br />'-" PS Form(3811, December 1954 tozses-se-a-0zze Domestic Return Receipt <br />