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21OD3 9 <br /> COMPLETE THIS DELIVERY <br /> SENDER: COMPLETE THIS SECTION <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. �s�7�„k 1 ❑Agent <br /> ■ Print your name and address on the reverse vL �`✓lf ❑Addressee <br /> so that we can return the card to you. B. Received by(Printed Name) C. Date of eliv <br /> ■ Attach this card to the back of the mailpiece, j a 31 �� <br /> or on the front if space permits. <br /> D. Is delivery address different from item 1? Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: No <br /> Rick Ensminger xTU�� 00 ,PZ�-T <br /> 3500 Highway 6 3. ffil certified <br /> Haxtun, CO 80731 Mail® ❑Priority Mail Express' <br /> ❑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 4566 <br /> (Transfer from service label) <br /> PS Form 3811,July 2013 Domestic Return Receipt <br />