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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 />Mr. William K. Havengar <br />Lazy H Inc <br />34449 County Road 10 <br />Keenesburg, CO 80643 <br />M_2016 -C)2Z <br />COMPLETE THIS SECTION ON DELIVERY <br />A. Signature <br />B. Received by (Printed Name) <br />❑ Agent <br />❑ Addressee <br />C. Date of Delivery <br />61//5/2/, <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 />IN 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 0150 0000 9138 1411 <br />PS Form 3811, July 2013 <br />Domestic Return Receipt <br />