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�LO <br />w1- )qq�- o2.z <br />■ Complete items 1, 2, and 3. <br />item 4 if Restricted Delive Also complete <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 />I. Article Addressed to. <br />'Eddie Clayton <br />F.O. Box 2 <br />Hooper, CO 81136 <br />A. Sign re <br />X 13 Agent <br />B. Received b CJ Addressee <br />Y (Printed N e) C. Date of Delivery <br />D. Is delivery address different from item I ^ E _ 1 <br />If YES, enter delivery es <br />ry address below: ❑ No <br />nFC 2 4 ?.Ot� <br />3. Service Type <br />❑ Certified Mail° 7oi3 ail Express" <br />❑ Registered ecei t for ❑ Insured Mailn Delliivery Merchandise <br />2. Article Number 4• Restricted Delive <br />�Y• (Extra Fee) ❑Yes <br />(Transfer from service /abe/J 7 0 14 15 0 <br />PS Form 3811, July 2013 0000--- <br />� 0 p 913 8 3 415 <br />Domestic Return Receipt _�- <br />Lr7 M ° =■K §1A1a 51I /1IA\1EEK: <br />U.(.Domes'ic Mai/ Only No lnsuran <br />cc I — r m _ <br />M Postage: <br />1 <br />c" Certified Fee: CI.J. Nd���a <br />E3 Return Receipts e. <br />O <br />Fr r) <br />C3 (Fodor Total Postage $ Fees: 0 <br />Restrl.._ _ _.• <br />C7 (Endorsemen_ t Required) <br />r 3 Total Postage & Fees f <br />�- Sent To <br />o <br />------ --- Eddie Clayton <br />r� <br />1,)treet1*7F?Q&-..- <br />r Pn ,Q- -- - - <br />