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d SENDER: <br />, U/ <br />h <br />d <br />d <br />c <br />0 <br />-o 3. Article Addressed to: <br />0. <br />E <br />. <br />V <br />cn <br />cc <br />W <br />G <br />' a <br />•z <br />cc <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 />Ron Thompson <br />122 West First Street <br />Trinidad, CO 81082 <br />I also wish to receive the <br />following services (for an <br />extra fee): <br />1. ❑ Addressee's Address <br />2. ❑ Restricted Delivery y <br />Consult postmaster for fee. <br />0 <br />0 <br />c <br />c <br />4b. Service Type <br />❑ Registered ❑ Certified cc <br />❑ Express Mail ❑ Insured c <br />N <br />❑ Retum Receipt for Merchandise ❑ COD 2 <br />7. Dc of Deliverer <br />• <br />8. Addressee's Address (Only if requested c • <br />and fee is paid) t <br />7008 3230 0002 7252 5219 <br />3811, December 1994 Domestic Return Receipt <br />L-4c4b1-012 �d <br />Cv-Oit-co 3 <br />Nato) 051Actu\ <br />