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U.S. Postal Service <br />CERTIFIED MAILr, RECEIPT <br />(Domestic Mail Only; No Insurance Coverage Provided) <br />For delivery information visit nil woha'ta ae r $0.44 <br />$2.85 <br />$2.30 <br />c <br />Return I <br />(Endorsemer <br />Restricted Delivery Fee <br />(Endorsement Required) <br />postage: <br />Certified Fee: <br />Return Receip t Fee: <br />Total F astage & Fees: <br />IMO <br />Sent jQ 4.iy C <br />Strait, Apt. No., <br />or PO Box No �� <br />City, c r ZIP +4 <br />1-. <br />• <br />PS Form 3800, August 2006 <br />See Reverse for Instructions <br />Total Postage & Fees <br />5. eceived By: (Print Name) <br />• 6. SX nat (A <br />LALde <br />PS Form 3811, Dece <br />see Or <br />7. Date of Delivery <br />d SENDER: <br />■Complete items 1 and/or 2 for additional services. <br />rn ■Complete items 3, 4a, and 4b. <br />92 • Print your name and address on the reverse of this form so that we can return this <br />> ■ Attach mailpiece, LZ card to you. . the mailpiece, or on the back if space does not <br />` permit. <br />■ Wn•R <br />teetum Receipt Requested' on the mailpiece below the article number. <br />t <br />•The Return Receipt will show to whom the artide was delivered and the date <br />c delivered. <br />c <br />0 <br />1:5 3. Article Addressed to: <br />a DANIEL B‘A/a- <br />O BEAR CoA L Co tn Amy <br />• 13 a6 wA R c:in 8 Licen /Ante <br />,cock sPk,NGs wyom <br />g2101 - '7713 <br />er 1994 <br />$5.59 <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 />4a Article Number <br />7008 llyo aooli say 3016 E <br />4b. Service Type <br />❑ Registered <br />❑ Express Mail <br />71, Return Receipt for Merchandise <br />IA Certified <br />❑ Insured <br />❑ COD <br />8. Addressee's Address (Only if requested <br />and fee is paid) <br />7008 1140 0004 5015 3016 <br />C-1 <br />eipt <br />d <br />N <br />. <br />d <br />rn <br />0 <br />0 <br />Y• <br />c <br />I- <br />