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SECTIONSENDER: COMPLETE THIS SECTION COMPLETE THIS . <br /> ■ Complete items 1,2,and 3.Also complete A. Signa <br /> item 4 if Restricted Delivery is desired. 15-Agent <br /> ■ Print your name and address on the reverse ❑Addressee <br /> so that we can return the card to you. g. ived by(Printed Name) C to of D .very <br /> ■ Attach this card to the back of the mailpiece, 4 Jl <br /> or on the front if space permits. Q � <br /> D. Is delivery address dill t from item 1? El Yes <br /> 1. Article Addressed to: If Y S,enter delivery address elow: ?(No <br /> Richard Fry rear <br /> 8085 C R 13 <br /> 3. Service Type <br /> Haxtun, CO 80731 WCertified Mail® ❑Priority Mail Express'" <br /> ❑Registered ❑Return Receipt for Merchandise <br /> ❑Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 21, NUJnl3er,. <br /> 0 nsfer from servx"gwwi} i 7 014 0150 0000 9138 1336 <br /> PS Form 3811,July 2013 Domestic Return Receipt <br />