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w <br />d <br />d <br />d <br />a) <br />c <br />0 <br />0) <br />0. <br />• E <br />0 <br />0 <br />fn <br />co <br />W <br />C <br />• <br />z <br />1- <br />• W <br />CC <br />5 <br />0 <br />N <br />SENDER: <br />• Complete items 1 and/or 2 for additional services. <br />• Complete items 3, 4a, and 4b. <br />• 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 />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 />delivered. <br />3. Article Addressed to: <br />7008 3230 00 <br />Dennis A. and Laurie L. Hallereck <br />36190 County Road 27 <br />Hayden, CO 81639 <br />L. l ' T a H f en Oec k. <br />5. Recei <br />SI d By: (Print Name) <br />6. g na ur <br />e: (Addressee or Agent) <br />X <br />PS Form 3811, December 1994 <br />4b. Service Type <br />❑ Registered <br />❑ Express Mail <br />I also wish to receive the <br />following s <br />extra fe <br />S fotsm <br />1. 4 Adsee's A <br />0 Restricted Delivery <br />Cpnsult postmaster for fee. <br />52 5134 <br />ertified <br />1Cnsur <br />❑ Retum Receipt for Merchandise Q COD <br />7. Date of Delivery <br />8. Addressee's Address (Only if requested <br />and fee is paid) <br />Domestic Return Receipt <br />