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M 2011- 64 U <br />ce_,-+-, �Ie-c� Mai I - Rrrn 14- <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. Richard Fretterd <br />1065 Woodland Ave., #16 <br />Woodland Park, CO 80863, <br />A. Sign ure <br />❑A <br />X ddressee <br />B. Received by (Prin�gd Name) C. Date of Delivery <br />L <br />D. Is delivery address different from item 1? ❑ Yls/ <br />If YES, enter delivery address below: o <br />3. Service Typ$. <br />P9 Certified'Mfi�r` l-*TAdo ty Mail Express'" <br />❑ Registered - - 0eiurn Receipt for Merchandise <br />❑ Insured Mail ❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number <br />(Aansfer from service labeg 7212 3462 2002 6385 3523 <br />PS Form 3811, July 2013 Domestic Return Receipt <br />'Ostal Service,. <br />ITIFIM MAII — Pl=r c <br />(Domestic Mail Only; No Insurance Coverage Provided) <br />For delivery information visit our website at www.usps.come <br />u7 <br />CO <br />M <br />Postage <br />$ <br />S T, <br />Certified Fee <br />U <br />'r <br />O <br />L7 <br />p <br />Return Receipt Fee <br />(Endorsement Required) <br />�Ifj F�p <br />2 `J, stmark <br />E3 <br />Restricted Delivery Fee <br />(Endorsement Required) <br />O <br />.0 <br />= <br />Total Postage R Fees <br />M <br />ru <br />Sent To <br />r-1 <br />C3 <br />---- - - - --- - -- <br />or PO, Box Mr. <br />or PO Box N <br />------------------- <br />Richard Fretterd <br />CityState,2 1065 Woodland Ave., #16 ------- - - - - -- <br />Woodland Park, CO 80863 <br />