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G r-�;� ,,ej i jjc-I I - release, <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. Darryl L Steele <br />62207 US Hwy 40 <br />Maybell, CO 81640 <br />A. Sianatilre <br />— )_ , ❑ Agent <br />B. Received 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. Service Type <br />El 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 labeq 7012 3466 0000 6385 1048 <br />PS Form 3811, July 2013 Domestic Return Receipt <br />N. <br />I,r-H I IrILU MAILTM RECEIF <br />(Domestic mail Only; No Insurance Coveral <br />For delivery information visit our website at www <br />Ln <br />I <br />CO <br />M <br />Posta— Q <br />—J <br />$0.69 <br />`° <br />e <br />postage, <br />3.30 <br />C3 <br />C3 <br />ROuCertified Fee: t Fee: <br />(EndorserrReturn fleceiP <br />$2.70 <br />v� <br />Restncteo *t 4 <br />(Endorsemt Fee'$ <br />� <br />� <br />Total Postage & � <br />.7" <br />rrl <br />Total Post _ <br />fl1 <br />Sent To <br />C3 <br />- --. Mr. Darryl L Steele <br />Street Apt. No.; ry ----------------------- <br />r` <br />x <br />City State, 62207 US Hwy 40 <br />City, 21. <br />ZIP +4 <br />Maybell, CO 81640 <br />........... <br />