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SENDER: COMPLETE THIS SECTION COMPLETE THIS <br /> DEL,VERY <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. X f}')� Agent <br /> ■ Print your name and address on the reverse /// ❑Addressee <br /> so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, <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 /> Cathleen Van Egmond <br /> Russ Van Egmond -. <br /> 546 Doe Valley Rd. s. Service Type <br /> 6Certified Mail® ❑Priority Mail Express' <br /> - Guffey, CO 80820 ❑Registered ❑ Return Receipt for Merchandise <br /> —_ ❑ Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number <br /> (1-ransfer from service labeq 7 014 2120 0001 7871 1608 <br /> PS Form 3811,July 2013 Domestic Return Receipt <br />