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d SENDER: <br />•Complete items 1 and/or 2 for additional services. <br />rm •Complete items 3, 4a, and 4b. <br />a i • 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 />d permit. <br />' •Write'Retum Receipt Requested' on the mailpiece below the article number. <br />• r •The Retum Receipt will show to whom the article was delivered and the date <br />, c delivered. <br />0 <br />d 3. Article Addressed to: <br />d <br />a <br />0 <br />0 <br />U) <br />W <br />.Q <br />a <br />cc <br />z <br />H <br />W <br />CC <br />Carol) Family Land LLLP__ <br />Gordon Grandbouche <br />750 2nd Ave South <br />Craig, CO 81625 -2916 <br />5. Received By: (Print Name) <br />c 6. Signa : (Addre e Agent) <br />PS Form 3811, December 1994 <br />14.a Arfir•Ic M ,mhnr <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 3230 0002 725 <br />4b. Service Type <br />❑ Registered ❑ Certified <br />❑ Express Mail ❑ Insured <br />❑ Retum Receipt for Merchandise ❑ COD <br />7. Date of Delivery <br />8. Addressee's Address (Only if requested <br />and fee is paid) <br />Domestic Return Receipt <br />Z • <br />• <br />rn . <br />• <br />5080' <br />cn <br />v <br />0 <br />C ' <br />W <br />.0 • <br />1— <br />