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C�r <br />4- i -r, i c�c M CA- — 1�1eP I ct ce FW <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 />Kym Schure <br />12826 CR 37 <br />Sterling, CO 80751 <br />A. Signature <br />❑ Agent <br />❑ Addna: <br />B. Rec%g�Iv�d by (Printea IV`e) I C. Date of Deli ery <br />D. Is delivery address different from item 1? El Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />90 Certified Mail® ❑ Priority Mail Express- <br />13 Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 7012 3460 0000 6385 4674 <br />(Transfer from service label) <br />PS Form 3811, July 2013 Domestic Return Receipt <br />QATESTOCR <br />Postal <br />CERTIFIED MAIL. RECEIPT <br />(Domestic Only; <br />CO <br />Postage: <br />48 <br />-11 <br />Certified Fee: <br />C3 <br />Return Receipt Fee: °► <br />$2. r9 R <br />C3 <br />C3 <br />Ref LIP <br />(Endorsf l <br />ors( <br />C4 ! <br />$6. � <br />C3 <br />Re Total Postage & Fees: i > <br />O <br />(Endorse <br />Total Postage & Fees <br />_ <br />M <br />Sent To <br />ru <br />r9 <br />-A ----------------------------------- <br />Street, pt <br />Wt. No.; 1 - --- `� m Schure <br />C3 <br />or PO Box No. <br />12826 CR 37 <br />Ciy, State, ZIP +. --------------- <br />— --------- <br />�� Sterling, CO 80751 <br />QATESTOCR <br />