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L <br />O <br />1660 0 <br />Su') <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 revers <br />so that we can return the card to you. <br />• Attach this card to the back of the mailpiet <br />or on the front if space permits. <br />1. Article Addressed to: <br />Mary Vasquez for <br />Ignacio Vasquez, Sr <br />P 0 Box 938 <br />Lyons, CO 80504 <br />\7q � �'(' Im'AA � <br />A. Signature [] Agent <br />X / //" /1'// �� � VAddressee !, <br />B. Received b Tinted Namej� �/�C• Date of Delivery t. <br />l/ I3eteo;-IS <br />D. Is delivery address different from item 1 ?No <br />If YES, enter delivery address below:TTTT <br />1111'�Ayl )19-5 <br />3. Service Type <br />❑ Certified Mail' ❑ Priority Mail Expresl <br />❑ Registered 0 Return Receipt for Merchandise <br />0 Insured Mail ❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) 0 Yes <br />2. Article Number 7014 0150 DDDD 9138 8953 <br />(Transfer from service label) <br />PS Form 3811, July 2013 Domestic Return Receipt <br />postal <br />=D MAIL,,, RECEIPT <br />CERTIFIE <br />rr t (OomeLtic Mail Only; No Insurance coverage Provided) <br />L-n <br />Co M <br />Co U:- <br />u — <br />M .. <br />ra Postage: <br />Er 0 <br />Return Receipt Fee: �a�� $2.709 <br />° �0 <br />° Total Postage & Fees: r ° <br />o <br />ra Total Postage & Feos <br />C:j <br />sent Tv Mary Vasquez for <br />o s�eafr:No.; Ignacio Vasquez, Sr. ................ <br />or PO Box No. <br />P 0 Box 938 <br />,;rySiao�,ZIP +4 Lyons, CO 80504 <br />