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Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery 4s dESired. <br />d Print your name and address on the reyetse <br />so that we can return the card to you,. . <br />® Attach this card to the back of the trtailpiece, <br />or an the,frant if space permts. _ -_ <br />-t~.{,4~rtic0e Addressed co: ~„,~,, <br />~`!` !! i <br />A. Sig. a ~ ----_ ..~. <br />~ ^ Agent <br />~~ ~'~ ressee <br />B. Received by (Panted Name) C. Date of Delivery <br />Is delivery address different from item 1? ^ Yes <br />If YES, enter delivery address below: ^ No <br />3. Service Type <br />Cl-28rtified Mail ^ Express Mail <br />^ Registered C-E"Return Receipt for Merchandise <br />^ Insured Mail ^ C.O.D, <br />_ _ 4. Restricted Delivery? (Extra Fee) ^ yes <br />2 7DD7 _ _ <br />._ <br />__ 256D_p <br />R D p 7 .__ <br />- D27 9.75 <br />~PS Form 3$1 f , Fc;pru _r,~'2n~ u,~r~e~Q, <br /> <br />® Complete items 1, 2, and 3.,Aisa ~cmplete <br />item 4 if Restricted Delvery~is desired. <br />® Print your name and address on the reverse <br />so that we can return the card to you. <br />® Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to <br />_ _..... , <br />Karl Kohloff <br />701 Balsam Ave. <br />Greeley, Colorado 80631 <br />102595-02 M 1540 <br />pnmr- ....,._.........__ <br />A. Signature <br />~ <br />X <br />Q Agent <br />~ <br />~ _ _^ Ad_drassee <br />G3.~Receiwed ry (}Pr'~i1-n`t~ned Name) C. D <br />G: Is delivery address dint fro em 1? ate of Delivery <br />^ Yes <br />~`~~If YES, enter delivery address below: ^ No <br />,,,,fa'~ f~ , <br />3. Service Type <br />CO Certified Mail ^ Express Mail <br />D Registered Q Return Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ^ Yes <br />_..._ _ . _ <br />2. A _... <br />~ 7D~7 256D DDDD 7D27 991~D <br />!~S i-;arrtm~38 i ~; f ebruary ."Ci(T4 o.rmestic Return iecepp <br />~ Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />® Print your name and address on the reverse <br />so that we can return the card to you. <br />® Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. A~-rtlcl//e Addressed t/o'/~//'' <br />~%~~ ~ ~/ <br />102595-02-h1.1540 <br />A. Signature <br />"4" ^ P.gent <br />X----C.",^",. `,.,~__- ^ Addressee <br />3. Received by (Printed Name) ~C. Date of Delivery <br />D. Is delivery address different from item ~? ^ Yes <br />If YES, enter delivery address below; ^ No <br />3. Service Type <br />Certified Mail ^ F~cpress Mail <br />^ Registered Ct~Return Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ^ Yes <br />p, . Articra_Ni imt~a~_.___.. __._ .._ <br />_.. _. _ <br />_--_ - - __ <br />_. <br />_ DD7 256Q DDDD 7D27 9866 <br />PS Farm .381 ~, FEbruary 2004 UomeSiic neiuuj rici,o7N. tn~sos_rn_ne_,aen <br />