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cco <br />MAC/ <br />LCIC <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. Ignacio Vasquez, Sr <br />c/o Mary Vasquez <br />P O Box 938 <br />Lyons, Co 80540 -0938 <br />A. Signature <br />X ///_A, <br />B. <br />❑ Agent <br />❑ Addressee <br />C. Date of Delivery <br />D. Isylefiv2P9ess different from item 1? ❑ Yes <br />QSE$,oti Qk ry address below: ❑ No <br />�Oc) ��D� �� <br />o f r <br />�r J-1 <br />111` AAi® ❑ 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 7012 3460 0000 6385 1,178 <br />(Transfer from service label) <br />PS Form 3811, July 2013 Domestic Return Receipt <br />cO 1 (Domestic Mail Only; No Insurance Coverage Provided) <br />`n 7 ostage: $0.48 <br />M Certified Fee: $3.30 <br />`0 Return Receipt Fee: $270 <br />E3 �u <br />O (Endorjotal Postage & Fees: 430 48 <br />C3 Restricts o y . �G <br />0 (Endorsement Required) <br />-I- Total Postage & Fees $ <br />M <br />ru Sent To Mr. Ignacio Vasquez, Sr. <br />r-1 sr,-eet Apt. N, c/o Mary Vasquez ----------------- <br />tt -- PO BoxNc P O Box 938 <br />------------------ <br />City State, ZL <br />Lyons, Co 80540 -0938 <br />r,. <br />