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M-tK(�A2-v5ti <br />■ Complete items 1, 2, and 3. Also complete <br />A. Signature / <br />item 4 if Restricted Delivery is desired. <br />X�rl L❑ Agent <br />■ Print your name and address on the reverse <br />❑ Addressee <br />so that we can return the card to you.B. <br />■ Attach this card to the back of the mailpiece, <br />Received b Printed Name) <br />C. ate of Delivery <br />or on the front if space permits. <br />) <br />1. Article Addressed to: <br />D. Is delivery address different from item 1? El Yes <br />If YES, enter delivery address below: ❑ No <br />Hartford Fire Insurance Company , <br />Denver Bond Dept <br />6430 South Fiddlers Green Circle <br />High Point Tower 1, Suite 400 <br />3. Service Type <br />WCertifiedMail® <br />❑ Priority Mail Express" <br />Greenwood Village, CO 80111 <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) 7 014 0150 0000 913 8 0124 <br />'S Form 3811, July 2013 Domestic Return Receipt <br />QATESTOCR <br />