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SENDER: COMPLETE THIS SECTION COMPLETE THIS DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. SiU6A <br /> nature <br /> item 4 if Restricted Delivery is desired. ❑Agent <br /> ■ Print your name and address on the reverse X b'I ❑Addressee <br /> so that we can return the card to you. B. Received by(Printed Name) C. Date of elivery <br /> ■ Attach this card to the back of the mailpiece, O -7 y l`���� <br /> or on the front if space permits. <br /> D. Is delivery address different from item 1? El Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑No <br /> Mathew Valdez <br /> Costdla County <br /> PO-Box 130 <br /> San Luis,CO 81152 <br /> 3. Service Type <br /> ❑Certified Mail® ❑Priority Mail Express- <br /> 0 Registered ❑Return Receipt for Merchandise <br /> ❑Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7 014 0150 0000 9138 4061 <br /> (Transfer from service labeq <br /> PS Form 3811,July 2013 Domestic Return Receipt <br />