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SENDER:COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> • Complete items 1,2,and 3.Also complete A. Sig t re <br /> item 4 if Restricted Delivery is desired. X i /��J\ r-�pgent <br /> • Print your name and address on the reverse Y ❑Addressee <br /> so that we can return the card to you. B. Receive by Printed N C. Date of elivery <br /> • Attach this card to the back of the mailpiece, I 7 - <br /> or on the front if space permits.ermits. !/r �Tv7 <br /> 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes <br /> If YES,enter delivery address below: . --a�{p <br /> 1 <br /> -70 Ca-vt C rcl .,-,-. Si� 3. ice Type <br /> a$ ertiffed Mail ail ❑Express Mail t . x.3 L v 5C) <br /> 1 ❑Registered ❑Return Receipt for Merchandise <br /> ❑Insured Mail ❑C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number <br /> (Transfer from service label) 7012 3460 0000 8332 7592 <br /> PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 <br /> U.S. Postal Service Tra <br /> CERTIFIED MAIL,., RECEIPT <br /> Qom-. (Domestic Mail Only;No Insurance Coverage Provided) <br /> NFor delivery information visit our website at www.usps.com;; <br /> ru DENVER CO 80228 <br /> m <br /> m Postage $ $0.49 0860 <br /> co <br /> D Certified Fee $33.30 03 <br /> D Postmark <br /> Return Receipt Fee <br /> D (Endorsement Required) $2.70 Here <br /> D <br /> Restricted Delivery Fee <br /> D (Endorsement Required) $0.00 <br /> = Total Postage&Fees $ $6.49 112/01/2014 <br /> m <br /> Sent To _ <br /> ru <br /> D Street.Apt No.; 3 Y-‘1.�tTy�i�?lk,� <br /> N orfPOBte ZIP+4 3-1(..) G` X <br /> PS Form 3800,August 2006 See Reverse for Instructions <br />