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<br /> <br />~ StcNDEq: CottIplBM Items 1.2 3. Ntd 4. <br />Add YLTt/lddte the "RETURN TO" sP~B <br />OA reVBf9e. ~i <br />(COlISULTI+OSTMASTEq FOFI FEES) <br />t. The (oliovring service is requested (check oM?. . <br />^ Show to whom and date delivered .................... _¢ <br />Show to whom, date, and eddRSS of delivery.. ~ <br />z. Q RESTRICTED DELIVERY _¢ <br />(77re rermrted delinrry fre u rhargM in addkion ra <br />rhr rrrvm rtrrrpry/n. ) <br />TOTAL p_ <br />9. AATiCIF ABOi1ESSE0 i0. <br />Mr. John F, Triantos Jr. <br />451 W. 8th Street <br />Uelta, Colorado 81416 <br />a. TYPE OF SERVK:E: <br />^ AEOtSTEAED Q a19URE0 AATeIE NUa1BEA <br />C~c <br />B <br />p coo 397 149 117 <br />~ <br />a <br />(AM1Nay~ abtaln dpnattre of tN1dfldBBe or pmt) <br />1 have rccelved the artick described shove, <br />SIGNATUgE ^ Add <br />rcsue ~~ Au horized agcnt <br />Y <br />a <br />_•,' <br />BATE OF DELIYE'gV <br />pK^ <br />' <br />1 <br />~/ <br />-AB'D/RE59EE'S (OnY.JR9~r+~ Q ~ . <br />S <br />~~ <br />'~' <br />. <br />W Q/ <br />/ <br />r} <br />r <br />'c i-/ / <br />7. I1/1ABlE TO LIVER BECAUSE T-E <br />IN <br />~Q <br /> ; <br />~~ ` <br />~ !II 1I11I1~I11111111 <br />-~_ <br />P 397 7"9 117 <br />~ :~ECEIVT FOA CEAlrFiicI9 "JWIi <br />rn i!0 tiiSURANCE CDYERA6E PROVIDED- r <br />p '~ ROT WR INTERNATIONAL MAIL <br />N <br />p (See Reverse) <br />C <br />V <br />i <br />N <br />C <br />v <br />0 <br />M <br />N <br />N <br />C <br />m <br />E <br />ro. <br />a <br />r-Ifi <br />~o <br />M <br />~fi <br />(Y p <br />J{{, <br />~a <br />Sant to <br />Mr, John F, Tri etos J <br />seerp to 8th Street <br />W <br />ts end ZIP Code <br />P.O., tin <br />Ponape ~' <br />. S <br />. <br />j <br />Cartl}IadFK .- <br />i <br />BGecl.t ti.n~rY Pw <br />RertrleteU D~Ilvery Fsa <br />Return Rsoalpt Shotllnp <br />to whom erM Dns D,allvereb <br />AnurnA Showugtowtmm, <br />Data, end AdQresa a} Delivery <br />TOTALP S <br />Ponmark s~ ~ <br />A~ <br />z' <br />r <br />4 jp3 , 0, <br />Y rP ~~~o <br /> <br /> <br /> <br />~ RECEIPT Date ~9~~ `~~~`~ <br />Received From :~ ~' <br />Ad res <br /> For ,'r/et~ -,a0 <br /> <br /> ACCOUNT HOW PAID <br /> AMi.~ <br /> <br />ACCOUNT CASH <br /> PMT. VAID CHECK n <br />~ <br />~ <br /> <br />EAUNCE <br />DUE <br />MONEY <br />OPDEa / <br />/ <br />/' <br />w~Gl/`'/~[~ <br />BY <br /> <br />gKE06 CIO <br />