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<br /> <br /> SENDER: I also wish to receive the <br /> <br />• . D«rriar itsrt• t .na« z ror aa~ldorW aorvkaa <br />^ corroi•r roam 3, k, era ~e. followln services for an <br />g i <br /> ^ Pea yo <br />r <br />rrrro and address m er inarM a tNa arm ao CW w ~, rehan aVS <br />u extra f9e): <br /> y <br />o <br />u <br />• Apit~aaroi tYd. i«m a er Ir«n a uw rrw~+ew, «an m. trek n epma dou n°r <br />1. ^ Addressee's Address ri <br /> pemit. <br />^ Wn• •RSean Rea¢f Requsfd'm dr maegxa below dr ertlge nrribar. <br />2. ^ Resblcted Delivery <br /> • iM Rs«m Recelq WY Wpw a wh«n rM aNtl. wee dWyanM and its deL <br />Consun postmaster ror roe <br />g <br /> yd;i,,,~. . ~~~ <br /> 3. Amide Addressed b: 4a. Amide Number iii <br /> Mr Tom Weaver Z 192 124 566 <br /> Montezuma County 4b. Serve Type <br /> r 09 W Main Rm 302 ^ Registered ~7CeNfled <br /> Cortez CO 81321 ^ I.xprassMall ^ Insured g <br /> ^ Retum Receipt Ia Merrhardke ^ COD <br /> 7. Date Ilve <br /> <br /> 5. ReceNed By: (Prfnf Mama) 8. Addre Address (Onty N requested <br /> .rw lee ~ psa) <br /> 8. Sipneture: (Addressee or AyerrfJ <br />X ~ <br />+ PS Form 387 December t i~"° ^' ^ ""-' Domestic Retum Receipt <br />,m Z 192 12 ~5~,~ ~ <br />GUS Postal Service ' <br />o Receipt for Certified Mail <br />~ No Inswance Coverage Provided. <br />Do not use for Intemanonal Mail See reverse <br /> <br />U ~1aT <br /> <br />L om Weaver <br /> R <br />~ 109 W Main <br />n) Post lrfice, State, b ZIP coda <br />~ Cortez CO 81321 <br />n <br />r Posrge a <br />11 <br /> Certified Fee <br /> <br />E <br />Y Spedal Ddrvery Fea <br />~ Restriged Delivery Fee <br /> Retum Recdpl Showin <br /> lylrm 8 Date DeG t( <br />rd <br />- <br />6 ReDUn Raeegx <br />Wta <br />B Messes' ('~ <br />~ <br />;D . <br />TOTAL Ponta s <br /> Postmark or Dal <br /> •~ <br />~ <br /> ~% <br /> <br />j <br />