2011-07-27_REVISION - C1994082

• Permit No: C1994082
• IBM Index Class Name: REVISION
• Doc Date: 7/27/2011
• Doc Name: Certified Return Receipt ‎(Inspection Notification)‎
• From: Jeff Yost
• Type & Sequence: SL3
• Email Name: SLB
• Email Name: SB1
• Media Type: D
• Archive: No

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c'• SENDER:
13 •Complete items 1 and/or 2 for additional services.
. w •Complete items 3, 4a, and 4b.
d ■ Print your name and address on the reverse of this form so that we can return this
card to you.
• Attach this form to the front of the mailpiece, or on the back if space does not
permit.
• Write'Retum Receipt Requested' on the mailpiece below the article number.
• The Return Receipt will show to whom the article was delivered and the date
delivered.
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d 3. Article Addressed to:
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6. Signat
PS F orm 3
U.S. Postal ServiceTM
CERTIFIED MAILTM RECEIPT
(Domestic Mail Only; No Insurance Coverage Provided)
For delivery information visit our website at www•usps.coms
postage:
Certified Fee:
Return Receipt Fee:
(Er & Fees:
Total Postage
(Er,
Total Postage & Fees
Sent To
street, Apt. No.;
or PO Box No.
City §fate, ZIP +4
Jeff A Yost
PO Box 772046
Steamboat Springs. CO 80477 -204
PS Form 3800, August 2006
SeeReverse for Instructions
-Jeff A Yost
PO Box 772046
Steamboat Springs. CO 80.477 -2046
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1, December 1994
$0.44
$2.85
$2.30 .k
$5.59
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I also wish to receive the
following services (for an
extra fee):
1. ❑ Addressee's Address
2. ❑ Restricted Delivery
Consult postmaster for fee.
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,7008 1140 0003 4437 5524'
4b. Service Type
❑ Registered ddertified
❑ Express Mail ❑ Insured
❑ Return Receipt for Merchandise ❑ COD
7. Date of Delivery
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8. Addressee's Address (Only if req ues ed
and fee is paid)
Domestic Return Receipt