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P 435 6~5 952 <br />US Postal Service <br />Receipt for Certified Mail <br />No Insurance Coverage Provided. <br />n.. ...., ...e b., b.,emaKnnal 1.hil /Sna mvarscl <br /> <br />Ben110 <br />Blake L. Mitchell <br />Slreel It Nu <br />7763 County Road 38 <br />Posl qua, Mancos, CO 81328 <br />Postage § Q, Z <br />CeNM1ed Fee . 3 5 <br />Spedal pelivery Fee <br />Reseidetl Delivery Fee <br />Retum Recdp Showurq to ' / 0 <br />vfiom 6 Dats Delivere <br />K'Mnt. <br />fle ~9orjq <br />( U\ <br />~ <br />~ <br />6 <br />TOTAL Posfaga 6 Fees ~ <br />^ § ~~~ ~' 7 7 <br />Postmark oSO e <br />n l~ <br />~ ~; <br />N <br />~ <br />~ <br />€ <br />LL ~ / <br />a ~,~-c <br />;SENDER: <br />~ v •Cunpae flarr° t erlda 2 br etldtlmal eerviwe. <br />I also wish to rrscelve the <br /> .camper, name a, as erg ab. following services (for an <br />°~ • P~ <br />your name and addreea m M refine at this form w enl we can velum gee e%lra f9e): <br />o t <br />•~mm tlfie form to tM eoa of tM meilpew, ar m tM Wd~ M epees doas na t, ^ AddreSSee'6 Adtlfe59 <br />11 •Wrils'Rarum Rsoip Rapuesteo' m IM meilpisp fwlow Uw enitle number. 2. ^ RBSIdGed DBlivery y ; <br />1 <br />~ •The Relum Reaip rill Now to whom Ne erlida wet tlelivend and tha date <br /> dNiwntl. Consult pOStrnester for fees. <br />ii <br />v <br />3. Article Addressed to: <br />4e. ArfiGe Number Y ~ <br />v <br />o P I7[ 3 S ~ <br />S S Z E i <br />+ . <br />E <br />° Hlake L. Mitchell 4b. Service Type ~ <br />' o <br />~ <br />u <br />7763 County Road 38 Certifietl <br />^ Registered @ <br />ml <br /> Mancos, CO B132B ^ Fx~ress Mail ^ Insured ~ i <br />j p~etum Receipt for MerGlandise ^ COD ~ <br />f 7. Date of eliv <br /> i <br /> . <br />j 5. Received By: (Pont Name) 8. Atltlressee's Atltlress (Only Nrequested ~ <br />I (, / <br />,v` and 169 is paid) ° <br />~ 6. Signature: (Addressee or Agent) - <br />? = X 1 00299 <br /> PS Fonn 11. December t994 t02595~9]-e-0r)9 Domestic Retum Receipt <br />