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� IL IZ <br />�fR iL <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 />Mason King <br />P.O. Box 68 <br />Cope, CO 80812 <br />A. Sign e / / <br />��� ((�[ ❑ Agent <br />L dressee �ceiv d by (Prin d Name) C. D Delivery .i Z IL <br />D. Is delivery address differe from item 1? ❑Yes <br />If YES, enter delivery address bel ❑ No <br />3. Service Type Wtoandl <br />❑ Certified Mail® ❑ Pri❑ Registered ❑ Re <br />❑ Insured Mail ❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 7 014 0150 0000 913 8 2371 <br />(Transfer from service label) <br />PS Form 3811, July 2013 Domestic Return Receipt <br />.= <br />C`- <br />m ' <br />rub _ <br />m <br />Postage: gpilp .69 <br />a Certified Fee: <br />117 Return Receipt Fee: <br />0 Q $ <br />7 9 x} <br />° Re,, i <br />° (EndorsiTotal Postage & Fees.,,�� $6. <br />° �I <br />Restdm -- _ ` <br />(Endorsement Required) `.r Q -, <br />° go217 v� <br />r-a Total Postage &Fees <br />° <br />Sent To Mason King <br />P.O. Box 68 •--•----••--•••----------- <br />Street, Apt wV ; <br />° or PO Box No. Cope, CO 80812 <br />City State, ZIF +4 <br />