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SENDER: COMPLETE THIS SECTION <br />• Complete items 1, 2, and 3. <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 />COMPLETE THIS SECTION ON DELIVERY <br />A. Signature <br />X <br />B. Received `by (Printed Name) <br />✓ <br />1 16II 5 <br />❑ Agent <br />❑ Addressee <br />C. Date of Delivery <br />1. Article Addressed to: <br />DI vrsi unci l2:(2c6n1Cmi Irj <br />saTt4 51:e�Z <br />13i 2,wrat n_ J <br />-'nverl co so203 <br />11111111 111111111 111111 111 111111111 1 11111 I Ill <br />9590 9403 0195 5120 0076 50 <br />D. Is delivery address different from item 1? 0 Yes <br />If YES, enter delivery address below: 0 No <br />2. Article Number (Transfer from service label) <br />7013 0600 0000 4761 5325 <br />3. Service Type <br />❑ Adult Signature <br />❑ Adult Signature Restricted Delivery <br />❑ Certified Mail® <br />❑ Certified Mail Restricted Delivery <br />❑ Collect on Delivery <br />❑ Collect on Delivery Restricted Delivery <br />' isured Mail <br />isured Mall Restricted Delivery <br />,ver $500) <br />❑ Priority Mail Express® <br />❑ Registered MaiITM <br />❑ Registered Mall Restricted <br />Delivery <br />❑ Return Receipt for <br />Merchandise <br />❑ Signature ConfirmatlonT'd <br />❑ Signature Confirmation <br />Restricted Delivery <br />PS Form 3811, April 2015 PSN 7530-02-000-9053 <br />Donestic Return Receipt <br />