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v <br /> a <br /> �1 <br /> _ ,Receipt for <br /> J`- Certified Mair;. <br /> *M No Insurance C"Provided�S® Do not usefor(See Rever e <br /> Sentto <br /> GALE BLAIR <br /> Street and No. - - <br /> P.O.,-State and ZIP Code <br /> -T4AT,TITq TT) A 96 <br /> Postage <br /> Certified Fee - <br /> ` Special Delivery Fee <br /> Restricted Delivery Fee <br /> Return Receipt Showing - - <br /> p� to Whom&Date Delivered <br /> Return Receipt Showing to Whom, <br /> cDate,and Addressee's Address- <br /> 7 _ <br /> TOTAL Postage *- <br /> ` C &Fees - <br /> 0 Postmark or Date _ <br /> M <br /> E <br /> o <br /> SENDER: omitems 1 aiW 2 an adlt�nal s rvices are e <br /> 3 and 4, ,( Z`, <br /> Put your address in the"RETURN TO" S ace on fever'e side. Fail e I !11' <br /> card from being returned to you.The return f ce' will ovide outhena arsr0nA <br /> to and the date of deliver .For Itlona fees t Wong services ar .aval j. o pe*Wnaste i <br /> or tees an c ec c ox es for additional service(s) requested. 1 i1-1 <br /> 1. ❑ Show to whom delivered, date, and addressee's address. 2.­❑ Restricted D'6Wefy- <br /> (Extra charge) (Extra charge) <br /> 3. Article Addressed to: 4. Article Number <br /> GALE BLAIR P 293 147 515 <br /> P 0 BOX 791 Type of Service: <br /> CHALLIS I D 83226 <br /> ❑ Insured <br /> Registered ❑ <br /> { Certified ❑ COD <br /> El Express Mail ❑ Return Receipt <br /> for Merchandise <br /> Always obtain signature of addressee <br /> or agent and DATE DELIVERED. <br /> 5.X Signet re — Address s ,� 8. Addressee's Address (ONLY if <br /> g requested and fe a ) <br /> 6. Signature — Agent ,J <br /> X Q <br /> 7. Date of Delivery V <br /> PS Form 3811, Mar. 1988 * U.S.G.P. 12-865 DOMESTIC RETURN RECEIPT <br />