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vV1 <br /> . . . <br /> SENDER: . <br /> A. Signature <br /> ■ Complete items 1,2,and 3.Also complete ❑A nt <br /> item 4 if Restricted Delivery is desired. X \' ? dressee <br /> ■ Print your name and address on the reverse <br /> so that we can return the card to you. B, Received (Pri' a Name) C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, ` 1 �+�. I --`�•%j <br /> or on the front if space permits. ❑Yes <br /> D. Is delivery address different from item I? <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑ No <br /> Ms. Sheila Rodamel <br /> Florence Sand & Gravel <br /> 7 3. service Type <br /> 99 5th Street <br /> II�Certified Mail- ❑Priority Mail Express"' <br /> Penrose, CO 81240 ❑ Registered ❑Return Receipt for Merchandise <br /> ❑ Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7 014 2120 0001 7871 1967 <br /> !Transfer from service label) <br /> PS Form 3811,July 2013 Domestic Return Receipt <br />