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-02 - <br />SENDER: COMPLETE THIS SECTION <br />• Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />IN 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 />Christina L Townsend <br />HUB International Service, Inc. <br />111 South Tejon Suite 113 <br />Colorado Springs, CO 80903 <br />COMPLETE THIS SECTION ON DELIVERY <br />A. Sign- ure <br />/XL, <br />Agent <br />0 Addressee <br />B. eceived by (Printed Name) <br />TfQf►t e-. u • n <br />C. Dat of D livery <br />D. Is delivery address diff rent from item 1? 0 <br />If YES, enter delivery address below: 0 No <br />es <br />3. Service Type <br />Certified Mail® <br />❑ Registered <br />❑ Insured Mail <br />❑ Priority Mail Express- <br />o 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 01Su 0000 9138 2135 <br />PS Form 3811, July 2013 <br />Domestic Return Receipt <br />