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� <br />o- <br />(Domestic Oniy; No Insurance Coverage Provided) <br />0 r- For delivery information visit our website at www.usps.comc,,, <br />n' <br />M Postage: <br />Certified Fee: �OV L 5 11:40 <br />o ��.30 <br />C3 Return Receipt Fee: .. $2 70 <br />O (Ern <br />O o ., <br />C3 (EnTotal Postage & Fees: <br />$7.40 <br />= Total Postage & Fees 1 $ <br />M <br />ru Sent To Rick Ensminger <br />� Street, Apt. No.,' -- - -- - ---------- -----° <br />or PO Box No. 3500 Highway 6 ° <br />------ - - - - -- - - -- - <br />Ciry,State, ZIP +4 Haxtun, CO 807 <br />1 PS Form :.0 August 2006 See Reverse for Instructions <br />• Complete items 1, 2, and 3. Also complete A. Signature <br />item 4 if Restricted Delivery is desired. X:� <br />• Print your name and address on the reverse <br />•ni C36 <br />0 Agent <br />so that we can return the card to you. <br />■ Attach this card to the back of the mailpiece, <br />l5 �ecelved b ( Printed Name) " <br />�\C C <br />. Date of Delive <br />a - _ <br />or on the front if space permits. <br />D. Is delivery address different f item 1? Yes <br />If YES, enter delivery address below: t3 No <br />1. Article Addressed to: <br />Rick Ensminger <br />�AA)(,.W K) Co 8M 3 <br />3500 Highway 6 <br />3. Service Type <br />Q �7 1 i <br />Haxtun, CO 8 0 / 3 1 <br />WCerUfled Mall 0 Express Mail <br />❑ Registered ❑ Return Receipt for Merchandise <br />- <br />❑ I d Mail ❑ C O D <br />nsure <br />4. Restricted Delivery? (Extra Fee) p Yes <br />2. Article Number 7012 3460 0000 6385 0911 <br />(Transfer from service labeO <br />I PS Form 3811, February 2004 Domestic Return Receipt <br />102595 -02 -M -1540 <br />6Y <br />