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►vI I C19U -I 3�t <br />N1 V 2Gi !t - b �lLt <br />,8 M car - VU0Ul <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 />A. Siggature <br />�p L ❑ Agent <br />X ►V� / <br />El Addressee <br />B. Received by (Pn'n d Name) C. Date of Delivery <br />�"> <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Serv'ce Type <br />ertified Mail® ❑ Priority Mail ExpresSTM <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number ?p12 346 O(7OO 6385 0225 <br />(Transfer from service label) <br />PS Form 3811, July 2013 Domestic Return Receipt <br />ru <br />1 (Domestic Mail Only; No Insurance Coverage <br />Provided) <br />ru <br />0 <br />in <br />Co <br />Postage: <br />$0.48 <br />Certified Fee: <br />$3.30 <br />Q <br />Q <br />Return Receipt Fee• ; <br />$2.70 ark <br />Q <br />Q <br />Total Postage & F s: o <br />3 <br />x.$6.48 <br />C3 <br />M <br />Total Postage & Fees <br />ru <br />sent ro James Ross <br />Q <br />--- - - - - -- -- - - - - - -. James H and Kathleen H Ross <br />Street Apt. Nr o.; <br />r— <br />o 5529 Highway 394 <br />PO Box No 9 Y <br />Craig, CO <br />PS Form 3800, August 2006 <br />