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• <br />:d <br />co <br />m <br />Ir <br />d <br />a) <br />.c <br />• <br />c <br />0 <br />d <br />a <br />E <br />0 <br />0 <br />rn <br />W <br />¢ <br />z <br />¢ <br />1- <br />w <br />¢ <br />0 <br />N <br />SENDER: <br />• Complete items 1 and/or 2 for additional services. <br />• Complete items 3, 4a, and 4b. <br />• 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 />permit. <br />"'Write 'Retum Receipt Requested' on the mailpiece below the article number. <br />• The Retum Receipt will show to whom the article was delivered and the date <br />delivered. <br />3. Article Addressed to: <br />Jerry Netttleon <br />Twentymile Coal Company <br />29515 Routt County Road 27 <br />Oak Creek, - CO 80467 <br />5. Received By: (Print Name) <br />6. Signature: (Addressee or Agent) <br />X <br />PS Form 3811, December 1994 <br />e.• n ..'..ie <br />7008 1140 0003 4437 5470 <br />4b. Service Type <br />❑ Registered <br />❑ Express Mail <br />❑ Retum Receipt for Merchandise <br />7. Date of Delivery <br />L -1 82 o5 <br />J <br />Jtotiel <br />CV -ZDll -005 <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 />❑ Certified <br />❑ Insured <br />❑ COD <br />8. Addressee's Address (Only if requested <br />and fee is paid) <br />Domestic Return Receipt <br />