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c`• SENDER: <br />L <br />, at <br />.. .n <br />M <br />d <br />d ▪ Lisa I�IT!irks <br />. ' � <br />E 2126 L'`:� . ` <br />Grand JUnctiQn.w;C'o81505 -9336 <br />N . <br />W <br />cc <br />.0 <br />0 <br />permit. ; * / <br />■ Write'Return Regeipt J of eswpi J' <br />• The Retum RegeiRt . fl show to vim^ <br />delivered. �. <br />5. Rec ved By: (Print Na ) , <br />6. Sign ture: (Ad Agent) <br />X <br />PS Form 3811, December 1994 <br />U.S. Postal Service,. <br />CERTIFIED MAILTM RECEIPT <br />(Domestic Mail Only; No Insurance Coverage Provided) <br />For delivery information visit our website at www.usps.coma <br />Postage: <br />Certified Fee: <br />Return Receipt Fee: <br />Total Postage & Fees: <br />Restricted Delivery Fee <br />(Endorsement Required) <br />Total Postage & Fees <br />Lisa M. Ricks <br />2126 L. Road <br />Grand Junction, Co 81505 -9336 <br />• v •Complete items 1 and/or 2 for additional services. <br />m <br />•Complete items 3, 4a, and 4b. <br />in • Print your name and address on the reverse of this form so that we can return this <br />card to you. <br />■ Attach this form to the fro the mailpiece, or on the back if space does not <br />e mailpiece below the article number. <br />e article was delivered and the date <br />$0.44 <br />$285. <br />;$2:30 <br />5.59 m <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 />7008 1140 0003 4437 6897 <br />4b. Service Type <br />❑ Registered <br />❑ Express Mail <br />❑ Retum Receipt for Merchandise <br />7. Date of Delivery <br />❑ Certified <br />❑ Insured <br />❑ COD <br />8. Addressee's Address (Only if requested <br />and fee is paid) <br />Domestic Return Receipt <br />n <br />i <br />