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wrl � <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 />Ralph Porco <br />Ralph Porco, Randy Porco <br />111 50 FDR 255 <br />La Jara, CO 81140 <br />c)qz <br />A. Signature <br />X 1, ❑Agent <br />p Addressee <br />B. Received b``y (Printed Name) C. Date of Deliv ry <br />D. Is delivery addess different,fron iti l? ❑ Yes <br />If YES, enter delivery address'b@lov�, ❑ No <br />0 � <br />Ce <br />a <br />3. Service Type 7 t,�/ <br />E3 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 7 014 0150 0 0 0 0 9138 3491 <br />(Transfer from service label) <br />PS Form 3811, July 2013 Domestic Return Receipt <br />S <br />(Domestic • <br />.•i <br />s <br />M <br />m <br />For delivery information visit <br />Postage; <br />our website at wwwusps.com, <br />At �vO <br />E3 <br />Street Apt. No.; <br />111 50 FOR 255 <br />r-q Certified Fee.- <br />a <br />LAS <br />2 F 69 <br />Return Receipt Fe <br />� <br />x.30 <br />0 <br />1 19� 2.70 <br />Total P <br />E3 (Ern, ostage & Fees" <br />-' <br />Restricted Delivery Fe9 <br />(Endorsement Required) <br />$6.69 <br />u') <br />Total Postage & Fees <br />C3 <br />$ <br />S <br />Sent To <br />Ralph Porto <br />Ralph Porco, Randy Porco ................ <br />E3 <br />Street Apt. No.; <br />111 50 FOR 255 <br />(t <br />or PO Box No. <br />La Jara, CO 81140 <br />City, State, ZIP +4 <br />- PS Form 3800, August 2006 see rteverse for mstrucuons <br />