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+i 1 <br />1% 1� <br />M IC, --)I - 0-1� <br />a, -� ej MCU, 1i <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 />Holyoke Gun Club <br />c/o Kendra Schlachter <br />45037 Co. Rd. 24 <br />Holyoke, CO 80734 <br />A. <br />X <br />CI, �-/ _ Lp Agent <br />jj�J�yJ Jl Addre <br />B. R�ecei ed by (Pr Name ✓ .D <br />0. Date of Delivery <br />D. Is delivery address diff11erent from item 1? ❑ es <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />Certified Mail ❑ Express Mail <br />Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 7012 3460 0000 6385 0935 <br />(Transfer from service iabeq <br />l PS Form 3811, February 2004 Domestic Return Receipt 102595 -02 -M -1540 r <br />M <br />(Domestic <br />1771 <br />0 <br />7-�- <br />Lrl <br />CID <br />Post <br />$1.40 <br />postage- <br />$3.30 <br />C3 <br />Certified <br />Certified Fee: <br />$2.70 <br />O <br />Return Receipt `Return Receipt Fee,. <br />(Endorsement Re um <br />C3 <br />r.3 <br />Restricted Delivery F `� <br />(Endorsement Require Total postage & Feed----- - <br />$7.40 <br />Total Postage & Fees I $ <br />M <br />,u <br />Sent To Holyoke Gun Club <br />Sfreef,Apf No:j---- - - - - -- c/o Kendra Schlachter ----- <br />--- ------- <br />or PO Box No. <br />----- - - - - - - 45037 Co. Rd- 24 --------- <br />C ------- - - - - -- <br />ity - , State, - ZIP +4 <br />- - - - -- <br />Holyoke, CO 80734 <br />