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IVY 2-012-- Ch5 <br />ce C-,Lced <br />SENDER: COMPLETE <br />SECTION .. <br />• Complete items 1, 2, and 3. Also complete A. S' e <br />item 4 if Restricted Delivery is desired. ❑Agent <br />s Print your name and address on the reverse X ❑ Addressee <br />so that we can return the card to you. B. Receiv d b (Printed Name) C. D to of el' <br />v <br />• Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />D. Is delivery address different from item 1? ❑ Yes <br />1. Article Addressed to: If YES, enter delivery address below: ❑ No <br />Wester- Surety Company <br />2727 81 st Street 3. Service Type <br />Lubbock, TX 79423 id 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 7012 3460 0000 6385 0669 <br />(transfer from service label) <br />PS Form 3811, July 2013 Domestic Return Receipt <br />Postal <br />(Domestic CERTIFIED MAILT. RECEIPT <br />C3 <br />Ul <br />cc Postage: <br />M Certified Fee: i f .48 <br />c Return Receipt Fee -' `0 .30 <br />C3 <br />C3 70 Return " <br />C3 (Endorseme Total Postage r�r 07 <br />O Restricted 9e &Fees: <br />O (Endorsement Requireut $6.48 <br />*2' Total Postage & Fees <br />M <br />ru sent To <br />O Street, Opt: LWstern Surety Company--------- - - - - -- <br />or POBoxP 27 81st Street C!ry State, . :bbock, TX 79423 <br />