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M, _LC I (d - 0 (-1 <br />SENDER: COMPLETE THIS SECTION <br />COMPLETE THIS SECTION ON DELIVERY <br />• Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />A. Signature <br />Agent <br />• Print your name and address on the reverse <br />X <br />so that we can return the card to you. <br />Addressee <br />• Attach this card to the back of the mailpiece, <br />or on the front if space <br />g, {eived by (Prr ted Na C. Dat of Del ery <br />i - / <br />permits. <br />1. Article Addressed to: <br />D. Is delivery address different,from item. I? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />Mr. Russell Painter <br />1761 Pikes Peak Drive <br />Florissant, CO 80816 <br />3. Service Type <br />EM 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 <br />(Transfer from service label) — 7014 015 0 <br />0000 913 8 6331 <br />PS Form 3871, July 2013 Domestic Return Receipt <br />Postal <br />MAIL. CERTIFIED <br />_(Domestic Mail Only; No Insurance Coverage Provided) <br />f,t-,t <br />S An <br />f��- et$0.48 <br />a - Postage: P ZQ 3.30 <br />M Certified Fee: <br />°1 Return Receipt Fee: ,� '9 2015$2.70 <br />° ,%$6.48 <br />° = Total Postage &Fees: �,,,,✓ <br />° Rea. <br />(Endorsement Regwred) <br />° <br />Lr) Total Postage & Fees <br />° <br />Sent To <br />StreetApCNo.; Mr. Russell Painter °° <br />° C Po Box Zji 1761 Pikes Peak Drive ----------------- <br />cm; srate, zla+ <br />Florissant, CO 80816 <br />