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d SENDER: <br />•Complete items 1 and/or 2 for additional services. <br />To •Complete items 3, 4a, and 4b. <br />a <br />i ■ Print your name and address on the reverse of this form so that we can retum this <br />card to you. <br />0 •Attach this form to the front of the mailpiece, or on the back if space does not' <br />permit. <br />■ Write'Retum Receipt Requested' on the mailpiece below the article num r. <br />• The Retum Receipt will show to whom the article was delivered and th ate / <br />delivered. <br />4 <br />0 <br />0 <br />d <br />E <br />0 <br />N <br />W <br />2 <br />C <br />G <br />a <br />z <br />CC <br />1- <br />CC <br />0 <br />3. Article Addressed to: <br />Everett L. and Mary J. Williams <br />P. O. Box 1815 <br />Hayden, CO 81639 -1815 <br />E de riz/T <br />5 Received By: (Print Name) t <br />Signature: (A Agent) <br />X <br />PS Form 3811, December 1994 <br />7 � <br />7007 302E SfO11 ' 6340 0140 <br />I also wish to receive the <br />following services (for an <br />extra fee): <br />1. ❑ Addressee's Address <br />2. ❑ Restricted Delivery <br />Consult postmaster for fee. <br />41f1 Se 'ce Type <br />❑ egis ed ❑ Certified <br />❑ Exp(ess il — . ❑ Insured <br />❑ Retum Receipt for Merchandise ❑ COD <br />7. Date of Delivery <br />8. Addressee's Address (On y if requested <br />and fee is paid) <br />Domestic Return Receipt <br />