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<br />"a <br />d <br />~. <br />d <br />H <br />n <br />m <br />m <br />to <br />G <br />8 <br />E <br />0 <br />LL <br />N <br />6 <br />in <br />eo <br />NOV PDC45982925693 '~ <br />RECEIPT FOR CERTIFIED MAIL <br />NO INSURANCE COVERAGE PRGVIDED <br />NOT FOR INTEPNATIDNAL MAIL <br />(See Reveisel 1"- <br />Sem to <br />Safe o n C Am i <br />Sveel and No <br />12499 W. Colfax <br />P O .Slate antl ZIP Code <br />Lakewood Colorado 80215 <br />Postage 5 <br /> j <br />CeniNed Fee } <br /> <br /> ~' <br />Spenal Delivery Fee <br />ResvMted Debvery Fee ) <br /> <br />Reiu~n ReCe~pl showing <br />to whom and Date Delivered <br />Return Receipt showing !o whom. <br />Dale. and Address of Delwery <br />TOTAL P05Ia9e and Fees S <br />PostmarR or Dale <br />A <br />) <br />7 <br /> <br />R Yrr10M Mr ~M, W ate <br />TO" SDace do the reverse side. Farure to tlo•this will orevenl <br />Safeco Insurance Co, of America <br />12499 W. Colfax' <br />Lakewood, Colorado 80L'15 <br />k <br />address. 2. ~ Restrlct¢d 1]elfvary ~ ; <br />^ gistered <br />.~Ceertilied ^ Idsured <br />^ COD <br />^ ExDress Mail ^ Return I <br />!or Men <br />Always obtain signature of addri <br />or aaeaaarll'DfIFE DElIVERED. <br />O <br />