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pp �� <br />C� <br />• Complete items 1, ?, 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 />Mr. Richard Fryrear <br />8085 C R 13 <br />Haxtun, CO 80731 <br />07� <br />A. Signature // <br />Q-A ent <br />X ❑ Addressee <br />B. Received by (Printeg e) C. Date of Delivery <br />D. Is delivery addres different,from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />i a Certified Mail® ❑ Priority Mail Express- <br />0 Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number ?014 0150 0000 913 8 0858 <br />(Transfer from service label) <br />PS Form 3811, July 2013 Domestic Return Receipt <br />Postal <br />CERTIFIED MAILT. RECEIPT <br />an <br />(Domestic <br />CO <br />.0 0 . <br />M $0.48 <br />o- Postage: / $3.30' <br />o Certified Fee: -� $2.71101l\5 <br />C] (EndorReturn Receipt Fee: <br />ED �$6.48�,� <br />Restr <br />o (End Total Postage & ees: <br />u-t $ <br />r-R Total Postage & Fees <br />C3 <br />Fen Mr. Richard Fryrear ----------------------- <br />- 8085 C p 13 <br />No ---- ----------- - - -- °° ZO, Haxtun, CO 80731 <br />