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SENDER: COMPLETE THIS SECTION <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 />Toltec No. 2 <br />Mr. Wilbur F. Benham <br />16417 KQNK Road <br />P.O. Box 66 <br />Norton, KS 67654 <br />COMPLETE THIS SECTION ON DELIVERY <br />A. Signature <br />X <br />❑ Agent <br />❑ Addressee <br />B. Received by (Printed Name) <br />C. Date of Delivery <br />D. Is delivery address different from item 1? 0 Yes <br />If YES, enter delivery address below: 0 No <br />3. Service Type <br />❑ Certified Mail' <br />❑ Registered <br />❑ Insured Mail <br />❑ Priority Mail Express'" <br />❑ Return Receipt for Merchandise <br />❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) 0 Yes <br />2. Article Number <br />(Transfer from service label) <br />7014 2120 0001 7871 2346 <br />PS Form 3811, July 2013 <br />Domestic Return Receipt <br />o� <br />1111011111/1111011•1•11.Mo <br />m <br />CU f1J <br />0001 7871 <br />0001 7871 <br />O O <br />fU ru <br />ra r—1 <br />ru lU <br />r9 ra <br />O <br />N N <br />U.S. Postal Service <br />CERTIFIED MAIL° RECEIPT <br />Domestic Mail Only <br />For delivery information, visit our website at www.usps.come. <br />Postage <br />Certified Fee <br />Retum Receipt Fee <br />(Endorsement Required) <br />Restricted Delivery Fee <br />(Endorsement Required) <br />Total Postage & Fees <br />Sent To <br />Street & Apt. No., <br />or PO Box No. <br />City, State, ZIP+4 <br />Toltec I,oad <br />Wilbur F Benham <br />16417 KQNK Road <br />PO. Box66 <br />Norton, KS 67654 <br />Postmark <br />Here <br />