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n <br />0 <br />a <br />8 <br />m <br />0 <br />r= <br />i <br />No. 166253 <br />RECEIPT FOR CERTIFIED MAIL <br />NO INSURANCE COVEIGCE PROVIDED- <br />NOT FUR INTERNATIONAL MAIL <br />"(See Reverse) <br />sENr To <br />Mr. Ro er Baars <br />STREET AND NO. <br />920 4 h <br />P.O., STATE AND ZIP CODE <br />Loveland Co. 84537 <br />POSTAGE <br /> <br />N CEgTIFIED FEE j <br />W <br />r SPECIAL DELIVERY <br />. <br />~ <br />0 <br />gESTRICTEO DELIVERY <br />T <br />LL <br />Ax <br />W y <br />~ <br />~ <br />SHOW F01tDI0M AXD DATE <br /> <br />C <br />N K DEIIVERFD <br /> ~ <br /> w <br />f H slrow rD wNOM, DArE AxD <br /> <br />y <br /> <br />= <br />~- <br />6 <br />ADDRFSS OF DEDVERY T <br />G W <br />d <br />'- ~ yVj SNPW i0 WHOM AND DAFE <br />~ <br />6 ~ DELIVERED WITN RFSFRICIED 6 <br />m o z DEOVERY <br />~ <br />~ ~ SNOW i0 WIDM. PATE AXD <br /> W ADDRESS Or OEUKRY WRN <br />C <br /> ~ AESTRICIEO DELNERY <br />TOTAL POSTAGE pND FEES $1 . 4 O <br />POSTMARK OR DATE <br />ovember ~, 1978 <br />~ SENDER' Completll items t. 2. and 3 <br />Add your adtlress m the "RETURN TO" spac¢ on <br />reverse. <br />t. The following service is requested (check one). <br />~ Show to whom anr~ date delivered.. .... ... _4 <br />^ Show to whom, date, and address of delivery .-¢ <br />^ RESTRICTEp DELIVERY <br />Show to who . _ date delivered.. .. ....._2 <br />^ RESTRICTEf) GtLIVERY <br />Show to whom, date, and address of deliveryl E, <br />(CONSULT POSTMASTER FOR FEES) <br />2 ARTICLE ADDRESSED TO' <br />Mr. Roger Baars <br />920 4th SE <br />_Lov e~n~C of or.a do~053 <br />3 ARTICLE DESCRIPTION' <br />REGISTERED NO CERTIFIED NO INSURED NO <br />166253 <br />(Always obtain signature of addressee or agent) <br />I have received the article described above. <br />SIGNATURE ^ Addressee ^ Authorized agent <br />4 <br />~ ~~ ,, <br />DATE OF DELIVERY ~I° y,(vlA <br />5 ADDRESSECOmprere Dory d reuueste ~ 918 <br />6. UNABLE TO DELIVER BECAUSE: ! 'S <br />{ZGPO I~A9~595 <br />