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SENDER: CompMa~ ILme t enA 2 when eddltlorW eervkw M deelrod, end emplete lame 7 errd 4 <br />M Your atlYlre Y M `RETUIIN 1'O" ~~~ ~ ~e eYe. FrAluw 7e de Mh MN pnverttehM <br />hom 4tltar-Mtttytl to a no <br />sro o <br />1 foe et>AA7fod~7 el«tgeehl <br />L6 tMrom ldlverd, deu, end,eddeereelad&ew. ReeVkbd WIMry. <br />rtieM Addrerwdlo: ~ ,~ h <br /> <br />~ P 480 065 <br />Da7~id Bacon' <br />` T 73avke: <br />Glenn Southwick Repleterod Inrured <br />8 <br />4207 North County Road 27 n.a <br />coo <br />xprw MNI <br />C , <br /># <br />Loveland, Colorado 80537 ANwye ob4ln u°"""r. of eddrrrrree or <br /> e°mt end DATE DELIVERED. <br />6. Si°nature - Addropec 8. Addroretw'e Addnee /ONL Y iJ <br />X requatedortdfK pe dJ <br />d. Sipneturo - A°snt <br />J <br />' <br />X <br />~ O~,CdYt <br /> <br />. DNe of DNN~ /, 7 <br />Fi Farm 7071. Feb. 1fC6 DOYOTIC RETUIIN R <br />P 168 480 065 <br />a_ <br />h m <br />~ m <br />c~ <br />io <br />~:> d <br />~O <br />~' tIl <br />.J ~ <br />~~ <br />m <br />_m <br />a <br />IL <br />°o <br />E <br />a <br />LL <br />N <br />a <br />RECEIPT FOR CERTIFIED MAIL <br />NO INSORANCE COVERAGE PROVIDED <br />NOT FOR INTERNATIONAL 61Aii. <br />(See Reverse) <br /> s <br />Sent to David Bacon ~ <br />Street and No. <br />4 ~: <br />P.O., St to antl ZIP ode <br />37 <br />~ 80 <br />l '~~ <br />and, C <br />5 <br />Love ~r <br />Postage = v <br /> v <br />Certllietl Fee <br /> J <br />Spacial Delivery Fee y <br />Restricted Delivery Fee ~ <br />Return Recelpl Showin° <br />to whom and Date Deli i <br /> <br />Return receipt sho ru <br />Date, and Atltlre elivery <br />TOTAL PosfaOe ands Fees <br /> e' <br />Postmark or Dal ~t ~~ D) C <br />Cr _' <br />p_. <br /> t <br />