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M N12c5o3 —x-13 <br />C' , F' j V1 ( <br />le ,,I — 1�e,&A-se- Loc- <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. Signa a <br />Agent <br />❑ Addressee <br />B. Received by (Printed N:. me) C. Date of Delivery <br />D. Is delivery address different from item 1? 0 Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />A Certified Mail® ❑ Priority Mail Express- <br />13 Registered 0 Return Receipt for Merchandise <br />❑ Insured Mail ❑ Collect on Delivery <br />4_ RP.Qtd1t.'l r1c16.e n 2 <br />LJ Yes <br />z. Article Number <br />(Transfer from servicelabeQ. — - -7012 3460 000 -0 6385 3226 <br />PS Form 3811, July 2013 Domestic Return Receipt <br />ru <br />ti <br />N _71i Pin <br />M <br />CO <br />M <br />Postage $ <br />Postage: <br />$0.69 <br />RCertified Fee: w <br />30 . <br />C3 <br />C3 <br />(Enclu'Return Receipt Fee: ;� <br />$2•7Q <br />� <br />Restnc <br />'r <br />f� <br />C3 <br />Total Postage & Fees: `� <br />$ 9 <br />Total <br />M <br />Sent To <br />� <br />Street, iipE No.; - Mr. Darryl L Steele <br />--------------- --- <br />0 <br />� <br />or P- Box No. 62207 US Hwy ^ <br />City State. ZlP y 41J <br />---------------------- <br />+4 <br />Maybell, CO 81640 <br />:ir rr. <br />