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(Domestic Mail Only; No Insurance Coverage Provided) <br />For'del very Information visit our website at www.usps,come <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 mailplece, <br />or on the front If space permits. <br />1. Article Addressed to: <br />Lut�Cc <br />oir p>-tz <br />tKo2 1�-t` Avg' <br />(P(��ty, Co 50031 <br />A Signature <br />X <br />0 Agent <br />B. ived bV (Printed Name) C. Date of Delivery <br />ryar►o Arap) -- -�. <br />D. Is delivery address different from item 1? YI J es <br />If YES, enter delivery address below: 0 No <br />3. Service Type <br />ru <br />r3 <br />Postage $ <br />e, <br />IlljSd <br />o <br />0 Insured Mail <br />0 Collect on Delivery <br />C3 <br />Certified Fees <br />�- 1U' <br />!J'1 r'dstin tk tk <br />C1 <br />Return Receipt Fee <br />}!e <br />L7 <br />(EndorsementReq�lred) <br />r <br />Restricted Delivery Fee <br />U:k , r. <br />r3 <br />(Endorsement Required) <br />U-1 <br />rU <br />Total Postage & Fees <br />y <br />ru <br />ft;fir2it14 <br />M banr a <br />or PO Box Wa. Z <br />can, �' sn, ear +4 <br />1[ -&EyL : Y L 0 <br />i <br />PS Form C August 2006 <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 mailplece, <br />or on the front If space permits. <br />1. Article Addressed to: <br />Lut�Cc <br />oir p>-tz <br />tKo2 1�-t` Avg' <br />(P(��ty, Co 50031 <br />A Signature <br />X <br />0 Agent <br />B. ived bV (Printed Name) C. Date of Delivery <br />ryar►o Arap) -- -�. <br />D. Is delivery address different from item 1? YI J es <br />If YES, enter delivery address below: 0 No <br />3. Service Type <br />ItCertified Malle <br />0 Priority Mail Express' <br />0 Registered <br />Or Return Receipt for Merchandise <br />0 Insured Mail <br />0 Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) 0 Yes <br />2. Article Number <br />Mransfer from samiceraber) 70_1_3 2250 0002 0021 6652 _ <br />PS Form 3811, July 2013 Domestic Return Receipt <br />