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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. George L. Quist <br />1849 Trail Creek Road <br />Lake George, CO 80827 <br />P2o /s 60� <br />COMPLETE THIS SECTION ON DELIVERY <br />A. Signature <br />❑ Agent <br />0 Addressee <br />X <br />C. Date of Delivery <br />� � J <br />D. Is delivery address different from item 1? <br />■ <br />Yes <br />If YES, enter delivery address below: 0 No <br />3. Service Type <br />® Certified Mail® <br />❑ Registered <br />❑ 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 />7014 0150 0000 9138 0018 <br />PS Form 3811, July 2013 <br />ri <br />CJ <br />D <br />m <br />ra <br />O <br />D <br />1-4 <br />D <br />r-9 <br />D <br />N <br />Domestic Return Receipt <br />U.S. Postal ServiceTt, <br />CERTIFIED MAILTM RECEIPT <br />(Domestic Mail Onl : No Insurance Covera. e Provided) <br />For delivery information visit our website at www.usps.com„ <br />Postage: <br />Certified Fee: <br />Return Receipt Fee: <br />(Endorsen Total Postage & Fees <br />Restrictet. <br />(Endorsement Required) I <br />Total Postage & Fees <br />Sent To <br />$0.485 <br />bly 3.45 <br />,-11_4480 <br />$6.73 <br />gun <br />Street, Apt. No.; <br />or PO Box No. <br />City, State, Z/P+4 <br />PS Form 3800, Au <br />Mr. George L. Quist <br />1849 Trail Creek Road <br />Lake George, CO 80827 <br />everse or nstru "ons <br />