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y <br />0 <br />d <br />0 <br />a <br />0 <br />0 <br />N <br />W <br />cc <br />d SENDER: <br />v <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 return this <br />• Attach this form to the front of the mailpiece, or on the back if space does not <br />to you. <br />■ Write'Retum Receipt Requested' on the mailpiece below the article number. <br />permit. <br />■ The Retum Receipt will show to whom the article was delivered and the date <br />delivered. <br />3. Article Addressed to: <br />z <br />cc <br />5.Rec <br />cc <br />N- 6. Signature <br />O X <br />0) <br />Chris and Kristen Miller <br />P.O. Box 276 <br />— Hayden, CO 81639 -0276 <br />PS Form 3811, December 1994 <br />I also wish to receive the <br />following services (for an <br />extra fee): <br />1. ❑ Addressee's Address <br />2. -0 Restricted Delivery <br />Consult postmast for fee. <br />7008 323'0 0: 02 7252 <br />4b. Service Type To • <br />❑ Registered 0 Certified c <br />• <br />❑ Express Mail ❑ Ins ed •? <br />o <br />❑ • Return Receipt for Merchandise C9 y, o <br />7. Date of.Delivery -. ,, , <br />t o l t � .) <br />8. Addressee's Address (Only if requested m <br />and fee is paid) F t „ <br />Domestic Return Receipt <br />O • ' <br />