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Ce fie r"T <br />• Complete items 1, 2, and 3. Also complete A. Signature <br />item 4 if Restricted Delivery is desired. <br />• Print your name and address on the reverse J <br />so that we can return the card to you. R eivexr <br />• Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />41 <br />4,f?✓,� Cfr�`a ��G <br />❑ Agent <br />C. Date of <br />D. Is deliv address different from item 1? ❑fie: <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />6Z Certified Mail® ❑ Priority Mail Express" <br />❑ Registered ❑ Return Receipt for Merchandise <br />{g Z7 J 1 Z ❑ Insured Mail ❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number <br />(Transfer from service label) 7012 3460 0000 6385 0027 <br />PS Form 3811, July 2013 Domestic Return Receipt <br />M. <br />BE t/l IA\ 1 T7-Mw <br />M (Domestic Mail Only; No Insurance Coverage Provided) <br />N For delivery information visit our website at www.usps.com. <br />Ln I 'w <br />CO '-f-t{- r, --e-- <br />m <br />.-o Postage: ? � � <�48 <br />C3 Certified Fee: a,30 <br />Return Recei t Fee: z�, ` _ "y <br />C3 (End p a.70 <br />C3 _) 4 <br />C3 (End, Total Postage & Fees: '� W - $6.48 <br />..or <br />-r Total Postage & Fees $ I <br />rn I <br />ru Sent To Mr. Daylan Figgs <br />sneer, aPciao:; Ms. Tawnya Ernst <br />------------------ <br />177, or FO Box " °. City of Fort Collins <br />Ciry, State, ZlP +4 p O Box 580 ---- - - - - -- <br />Fort Collins, CO 80522 <br />