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d SENDER: <br />'O ■ Complete items 1 and/or 2 for additional services. <br />in • Complete items 3, 4a, and 4b. <br />q • Print your name and address on the reverse of this form so that we can return this <br />E., <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 />d ■ Write'Retum Receipt Requested' on the mailpiece below the article number. <br />r •The Return Receipt will show to whom the article was delivered and the date <br />c delivered. <br />O <br />v 3. Article Addressed to: <br />0 <br />co <br />W <br />cc <br />z <br />' � 5. Re ceived By: (Print <br />6. Signs ure: (Address <br />ikaa <br />DLH Family Trust 2001 <br />Lazy H Ranch <br />Denny Wilson- Manager <br />44960 Highway 133 <br />Somerset, CO 81434 <br />PS Font+ 3811, December <br />1. .- <br />Ln 20- 00 <br />-- N)r\d 4k <br />--- 1 - , natacttr) <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 5449 <br />4b. Service Type <br />❑ Registered ❑ Certified o <br />❑ Express Mail ❑ Insured c <br />❑ Return Receipt for Merchandise El COD <br />7. Date of Deliv <br />Ad • ressee's Address (Only if requested . <br />and fee is paid) C ; <br />tgUO (33 <br />©r� ' t C I' <br />�. � f O CO c <br />Domestic Return Receipt <br />