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' ,; SENDER: <br />' o •Complete items 1 and/or 2 for additional services. <br />w ■Complete items 3, 4a, and 4b. <br />• Print your name and address on the reverse of this form so that we can return this <br />`w 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 />6 •The Return Receipt will show to whom the article was delivered and the date <br />c delivered. <br />E <br />0 <br />0 <br />0 <br />C) <br />0 <br />0 3. Article Addressed to: <br />0 . <br />W <br />Jerry Nettleton <br />29515 Routt County Ro <br />Oak Creek, CO 80467 <br />5. Rece�i d By�rin Nape) // <br />f // / " j� <br />6. Signature: ( ddre a or Agen <br />x fr <br />PS Form 3811, December 1994 <br />27 <br />0 ---Act37__-05(0 <br />Cv-w 1,005 su3 <br />61)3/tiu <br />s_ki■satht <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 7252 5288 <br />4b. Service Type <br />❑ Registered <br />❑ Express Mail <br />❑ Return Receipt for Merchandise <br />❑ Certified <br />❑ Insured <br />❑ COD <br />7. Date of Delivery <br />/0 /DC /I <br />8. Addressee's Address (Only if requested <br />and fee is paid) <br />Domestic Return Receipt <br />