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M - ZC9 ()-� - 0 -S 61 <br />SECTION SENDER: COMPLETE THIS SECTION COAAPLE- E I fl, S DELIVERY <br />• Complete items 1, 2, and 3. Also complete A. Sig ture ' <br />item 4 if Restricted Delivery is desired. 11 Agent <br />• Print your name and address on the reverse �` ❑ Addressee <br />so that we can return the card to you. BcWeceived by (Print d Name) C. Date of Delivery <br />• Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />Is delivery address erent from item 1? ❑ Yes <br />1. Article Addressed to: If YES, enter delivery address below: ❑ No <br />Sylvia S- Lopez <br />S 8, S Services <br />19901 State Hwy- 12 <br />Weston, CO 81og1 <br />3. Service Type <br />❑ 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 7014 0150 0000 9138 2586 <br />(Transfer from service label) <br />PS Form 3811, July 2013 Domestic Return Receipt <br />�= (Domestic Mau L <br />L,n rr r cz rrTii <br />ry <br />n Postage: =L � <br />` Certified Fee: <br />rrq Return Receipt Fee:..y SEC <br />it <br />C:3 <br />T_ otal Postage & Fees <br />9 <br />(Endorsem -.. <br />Restricted Delivery Fee <br />C3 (Endorsement Required) <br />U-1 <br />� Total Postage &Fees <br />Sent To Sylvia S- Lopez <br />S & S Services ---------------------------- <br />r 19901 State 12 <br />Street, Apt. No.; H�^rY- <br />or PO Box No. Weston, CO 81091 ---------------------------- <br />---- -- ---- --- --- <br />City, State, zlP <br />PS Form :rr August 2006 <br />See Reverse for Instrurtions <br />