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• SENDER: <br />o <br />•Complete items 1 and/or 2 for additional services. <br />m •Complete items 3, 4a, and 4b. <br />m ■ 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 0 space does not <br />F2 permit. <br />ry ■ 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 />O <br />0 3. Article Addressed to: <br />7007 3 0 2 0 <br />71. Michael and Amy Williarr s • <br />n P.O. Box 115 <br />Hayden, CO 81639 <br />cc <br />.0 <br />5 6. Sig <br />0 <br />0 <br />PS <br />, . ecember 1994 <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 />0157 <br />Servi <br />Type <br />3e' stered <br />ress Mail <br />tum Receipt for Merchandise <br />I - <br />: eof; elive <br />I� C <br />Ins <br />co <br />t . : ' • ddress (Onl <br />Domestic Return Receipt <br />8. A <br />and fe <br />'f requ <br />ified <br />red <br />ed <br />d <br />N <br />. <br />cc <br />c' <br />V <br />R <br />cc <br />0 <br />5) <br />0 <br />Y <br />c <br />r <br />1- <br />