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M lq-isl —U43 <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 Dennis Sanchez <br />Colorado Department of Transportation <br />260 Ranney St. <br />Craig, CO 81625 <br />�lr <br />A. Signat e ' <br />X El Agent <br />Y El Addressee <br />B. ece' a by (Printed Name) C. Date of Delivery <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Se ice 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 label) 7 012 3460 0 0 0 0 6 3 8 5 019 5 <br />PS Form 3811, July 2013 Domestic Return Receipt <br />Postal <br />CERTIFIED MAILT. RECEIPT <br />vLn (Domestic Maft Only, No Insurance Coverage Provided) N <br />rq <br />o . <br />$0.48 <br />m Postage: $3.30 <br />m Certified Fee: _� " "�� <br />.� 0.� $2.70 <br />Return Receipt Fee: a <br />E3 <br />CO ct a &Fees: :; ?; a $fi•48 irk <br />C3 (ETotal Postag <br />r,_--- ueuvery Fee <br />0 (Endorsement Required) <br />.A <br />-:2' Total Postage & Fees $ <br />M <br />ru Sent To <br />� Mr Dennis Sanchez <br />O Sireet, Apt: IVo.; Colorado Department of Transportation -------------- <br />r%- or PO Box No. 260 Ranney St. <br />Craig, CO 81625 <br />Gty, State, ZIP +4 ............ .. <br />PS Form :rr August 2006 <br />See Reverse for 1ns!U—C—t1O- <br />