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C1996-083 <br />SL -1 <br />Inspection Notification <br />jdm <br />U.S. Postal ServiceTM <br />CERTIFIED • <br />Lrl <br />�o <br />(Domestic <br />N <br />CO <br />Postage: J. $0. <br />., ro <br />o certified Fee: - CIO $ iark <br />E3 Return Receipt Fee.. Q; $ e <br />o �+ <br />C3 t Total Postage & Fees: $6.735 <br />-0 <br />Total Postage & Fees 3 <br />m <br />ru s Margaret Springer <br />St <br />or <br />765 25 314 Road <br />Grand Junction, CO 81505 <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 />Margaret Springer <br />765 25 3/4 Road <br />V S(;V E� <br />uG 4 Zp15 <br />pivisi0n of R&Saetyion, <br />M,609 <br />A. Signature <br />x ✓ _ ❑ Agent <br />❑ Addressee <br />B. Receive by (Printed Name)Date of Delivery <br />C. <br />D. Is delivefy address different,frorA item 1? ❑ Yes <br />If vFQ enter delivery address below: ❑ No <br />Grand Junction, CO 81505eType <br />rtlfled Mail® <br />gistered <br />❑ Insured Mail <br />❑ Priority Mail Express' <br />❑ Return Receipt for Merchandise <br />❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number <br />(Transfer from service label) 7012 3460 0000 6384 7485 <br />PS Form 3811, July 2013 Domestic Return Receipt <br />