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M — �C,-7&SENDER: COMPLETE THIS SECTION COMPLETE THIS <br /> DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A Sign ure ,--- <br /> item 4 if Restricted Delivery is desired. D ❑Agent <br /> X <br /> ■ Print your name and address on the reverse ❑Addressee <br /> so that we can return the card to you. Re i ed`b (Printer,Name) C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front if space permits. <br /> D. Is a address different m item 1? s <br /> 1. Article Addressed to: If YES,enter delivery addrei s below: ❑No <br /> Mr. Leroy A. Bellmore <br /> North Weld Gravel <br /> 13480 WC R 100 3. Service Type <br /> Nunn CO 80648-9700 El Certified Mail® ❑Prior Mail Express'" <br /> ❑Registered ❑Return Receipt for Merchandise <br /> ❑ Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra e) ❑Yes <br /> 2. Article Number 7 014 015 0 0000 913 8 9110 <br /> (transfer from service label) <br /> PS Form 3811,July 2013 Domestic Return Receipt <br />