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iC <br />J <br />Cc-r- 1'e CA— I' <br />• Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />• Print your name and address on the reverse <br />so that we can return the card to you. <br />• Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />Mr. Mason A King <br />P O Box 68 <br />Cope, CO 80812 <br />A. <br />B. Receivedkby (Pdnt9d Name) <br />LCC <br />❑ Agent <br />Ur Addressee <br />D. Is delivery address different?rom item 1? L-I Ye,' <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />Certified Mail® ❑ Priority Mail Express'" <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number <br />(Transfer from serviceiabeo 7012 3460 0000 6384 7270 <br />PS Form 3811, July 2013 Domestic Return Receipt <br />F <br />O (Domestic Mail Only; No Insurance Coverage Provided) <br />r%- <br />rU For delivery information visit our website at www.usps.come <br />ro <br />M <br />.n Postage: <br />certified Fee: ��yF <br />C3 (En�Return Receipt Fee: p`` qlg7o s <br />C3 z <br />_t <br />o (E erotal Postage & Fees: °— $6.0 0 <br />-2- Total Postage & Fees ` <br />M <br />Sent To <br />ru <br />o <br />Mr. Mason A King <br />S[reet, Apt. No. p <br />or PO Box N-- ; <br />P O Box 68 <br />City, State, ZIP+ <br />Cope, CO 80812 <br />