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Pem,~t# m- ig~g - ~~ / <br />Date: 9 `~-1~ 0,6 <br />Certified Mail Receipt- ~~/ l <br />^ Complete items 1, 2, and 3. Also complete A Sign re <br />item 4 if Restricted Delivery is desired. X <br />^ Print your name and address on the reverse <br />so that we can return the card to you. R eivep by <br />^ Attach this cab to the back of the mailpiece, (_Y/ <br />or on the front if space permits. P <br />1. Article Addressed to: <br />Mr Fred L. Korinek <br />Fred L Korinek <br />550 Lane 15 <br />~Manzanola, CO 81058 <br />Mv- ~ oo~ - ~5 <br />Recipients: ~ /7'1/~~ ~~ ~~-.6 <br />FROM: DRMS <br />^ Agent <br />C. Date of Delivery <br />Is delivery address differem from item 17 ~ Yes <br />If YES, enter delivery atltlress below: ^ No <br /> 3. Service Type <br /> ^ Certified Mail ^ Express Mail <br /> ^ Registered ^ Return Receipt for Merchandise <br /> ^ Insuretl Mail ^ C.O.D. <br />4. Restricted Delivery? (Extra Feel ^ yes <br />2. Article Number <br />(irens/er from service laben 7003 1680 0000 6427 9193 <br />y~ PS Form 3811, February 2004 Domestic Return Receipt tozsas~az-M-lsno ` <br />