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M!086007 <br />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. Glenn Southwick <br />13800 Silver Springs Road <br />Jay Em, wY 82219 <br />COMPLETE THIS SECTION ON DELIVERY <br />A. Signature <br />X <br />.Agent <br />0 Addressee <br />B. Rec ived by (P�rintedName) C. Date of Delivery <br />T+ 'ef .,4IeId- il�)L Is <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 />er.iCertified Mail® <br />0 Registered <br />0 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 />PS Form 3811, July 2013 <br />7014 2120 0001 7869 5885 <br />Domestic Return Receipt <br />