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boo <br />Cer+Fied McU� I- eeplcnce- CO <br />■ Complete items 1, 2, and 3. Also complete A. Signature /' <br />item 4 if Restricted Delivery is desired. 1 £f Agent <br />■ Print your name and address on the reverse X �5, rLy ❑ Addre <br />so that we can return the card to you. B. Received by ri ed Name) C. Da of Deli <br />■ Attach this card to the back of the mailpiece,� i <br />or on the front if space permits. <br />1. Article Addressed to: <br />Mr. Frank Gilmore <br />13721 G Road <br />Delta, CO 81416 <br />D. Is delivery addres different from item ❑ Yet <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 service labeo 7 012 3460 0 0 0 0 6385 10 7 9 <br />PS Form 3811, July 2013 Domestic Return Receipt <br />M1 <br />(Domestic Mail Only; <br />I= <br />r-=[ <br />For delivery Information visit our viiebsite at www.usps.come <br />Ln <br />CO <br />Postage: <br />M <br />Certified Fee: <br />$0.69 <br />-XI <br />Return Receipt Fee: <br />$3.30 <br />C3 <br />$2.70 <br />0 <br />(End,Total Postage & Fees: <br />O <br />6.69 <br />$ <br />� <br />Resin <br />(Endorsement Required) <br />.A <br />'-r <br />M <br />Total Postage & Fees <br />ru <br />Sent To <br />rq <br />C3 <br />Street, Apt No., Mr. Frank Gilmore <br />-------°--`------------- <br />r - <br />or PO Box No. <br />CIry State, ZrP +a 13721 G Road <br />----------------------- <br />:r� Delta, CO 81416 <br />