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d SENDER: <br />:C •Complete items 1 and/or 2 for additional services. <br />rA <br />•Complete items 3, 4a, and 4b. <br />av • Print your name and address on the reverse of this form so that we can retum this <br />card to you. <br />•Attach this form to the front of the mailpiece, or on the back if space does not <br />Iv permit. <br />• ■ Write'Retum Receipt Requested' on the mailpiece below the article number. <br />•The Retum Receipt will show to whom the article was delivered and the date <br />c delivered. <br />v o I a_Artirlw h imhor 3. Article Addressed to: . <br />6) <br />d <br />4 <br />z <br />• 5. Received By: (Print Name) <br />5 '6. Sign <br />0 <br />dressee r A nt) <br />orm 3811, December 1994 <br />o • John J. Ladish <br />co P. 0. Box 775948 <br />w • Steamboat Springs, CO <br />• <br />7008 3230 0002 7252 5158 <br />Lab. Service Type <br />] Registered <br />] Express Mail <br />804 ] Retum Receipt for Merchandise <br />r. Date of Delive <br />cis/ Addressee's Addres ( Only if requested <br />and fee is paid) <br />0 _4qq,y -o <br />Yuat <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 />❑ Certified <br />❑ Insured <br />❑ COD <br />Domestic Return Receipt <br />