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• 1-1 <br />• O <br />m <br />•.11 <br />r1 <br />D <br />D <br />ru <br />• O <br />m <br />P- <br />M <br />D <br />r•-• <br />U.S. Postal Service rN, <br />CERTIFIED MAIL, RECEIPT <br />(Domestic Mail Only; No Insurance Coverage Provided) <br />For delivery information visit our wehcirn �+ <br />— Postage: $0.44 $2.85 <br />Certified Fee: $2.30 <br />Return Receipt Fee: <br />(End Total Postage & Fe7, <br />EIMIEWA <br />Leroy M. and Linda` <br />P.O. Box 1106 <br />Hayden, CO 81639 -1106 <br />iltus4 <br />PS Form 3800, August 2006 <br />See Reverse for Instructions <br />Restncted Delivery Fee <br />(Endorsement Required) <br />Total Postage & Fees <br />d SENDER: <br />C <br />•Complete items 1 and/or 2 for additional services. <br />rn <br />•Complete items 3, 4a, and 4b. <br />a) • 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 Return Receipt will show to whom the article was delivered and the date <br />delivered. <br />3. Article Addressed to: 7 0 07 30 <br />Leroy M. and Linda E. Wilt <br />P.O. Box 1106 <br />Hayden, CO 81639 -1106 <br />5. Received By: (Print Name) <br />Signature: dressee or Agent)-- <br />.Ig•.,t1 I)in <br />1, Decem <br />• <br />• X <br />PS Fo ' 3� <br />/•(' <br />• <br />I also wish to receive the <br />following services (for an <br />extra fee): <br />1. ❑ Addressee's Address <br />2. ❑ Restricted Delivery N <br />Consult postmaster for fee. <br />• d <br />0 0 , 1 3 4 1 - 4 4 , 1 r <br />1 6 4 <br />4b. Sei ice Type '\ t u <br />❑ Registered ❑', Certified c <br />❑ Express Mail ❑ Insured a <br />❑ Retum Re'ceipt for Merchandise ❑ COD .2 <br />7. Date of Delivery 2 <br />`A <br />8. Addressee's Address, (Q9iy ifr"q"uested 0 <br />and fee is paid) <br />Domestic Return Receipt <br />