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0001 5692 3256 <br />';',,or de vamp ormat on ,visa >WinpyebsIteont;ww uspsfcan ;, <br />LOVEt$il r CV 80538 <br />a,�r Fc $3.45 <br />& Fee: i:rr,,to., <br />[j r. • U l,h <br />❑F. • . F. , ..a ., $ -.$4.00 <br />CI'NJ fir:•ry $ _ <br />LJ! N - .' Ln. It $_. $V.itV <br />$ $0.49 <br />Tota' Postage and Fe -ns <br />$6.74 <br />HMG JERRY UMARY E <br />2649 N BOISE AVE <br />LOVELAND, CO 80538 <br />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 />1. Article Addressed to: <br />HAAG JERRY L/MARY E <br />1.649 N BOISE AVE <br />LOVELAND, CO 80538 <br />111111I111111111111111IIII11I 1111111111111111 <br />9590 9403 0398 5163 4162 61 <br />Dr <br />ru <br />m <br />ru <br />D - <br />.n <br />a <br />O <br />O <br />D <br />_D <br />0 <br />a <br />N <br />Fnr"4delly"eryliiforination^�Y <br />LOVELrN ID v CO 80.5'37 <br />ort c 1 Ma I Fe: $3.45 <br />Sc s & r(0., r,<. K , MI.. . <br />Ore - .., R.x.;,a ca,.., n .) <br />[1'-'":,�.• ,,1.1.1).,.d 40i00 <br />Pw t `r $0.49 <br />Total Postage and Fees <br />$6.74 <br />CRAN JUSTIN D <br />2987 NATURE RUN DR <br />LOVELAND, CO 80537 <br />COMPLETE THIS SECTION ON DELIVERY <br />A Signature <br />t�1 <br />tow t <br />`p f� . <br />12/18/2015 <br />❑ Agent <br />ressee <br />►. <br />B. Received by (P ted Name) <br />M t! *C— <br />D. Is delivery address different from item 1? 0 Yes <br />If YES, enter delivery address below: 431Ne._ <br />C. <br />ate of Delivery <br />?- 1-t5 <br />2. Article Number (Transfer from service label) <br />3. Service Type <br />o Adult Signature <br />❑jd ua Signature Restricted Delivery <br />in -Certified Mail® <br />0 Certified Mau Restricted Delivery <br />0 Collect on Delivery <br />❑ Collect on Delivery Restricted Delivery <br />❑ Insured Mail <br />'- —'"ail Restricted Delivery <br />7015 0640 0001 5692 3256 <br />United States Postal Service• <br />Sony We Missed You! We <br />Item is at <br />_Post Of ices (See back) <br />Letter <br />— Large <br />wog, ea <br />_ Parcel <br />— Perishable <br />nem <br />Other: <br />0 Priority Mali Express® <br />❑ Registered Mahn, <br />❑ Registered Mail Restricted <br />merchandise for <br />❑ Signature Confirmation'', <br />❑ Signature Confirmation <br />Restricted Delivery <br />Today's Date <br />Deliver for You <br />Available for Plck-up After <br />Date: <br />For Delivery: (Etter total number of Items <br />dellverad by service type.) <br />For Nodes Let: (Check applicable Item) <br />Priority Mall — Insured Mail <br />— Express' <br />�'Cerlifted Melt" <br />or article wi(Must dein t f <br />— Restricted Delivery <br />— Adult <br />lime: <br />Demeatio Ream Receipt <br />Sender's <br />me <br />For Ret1e!i cry <br />,ii 115(75 <br />n1 ti r _, r ,.r. ins <br />❑H p <br />checked. you or your ant must be present <br />at tine of duIIvsry to sign for kern. <br />USPS Tracking i or Mtcl, Numbers) <br />7(S t `to cal <br />Notice Left ,S, -,woo <br />Signature Customer tame and Address <br />— Registered Mar — Confirmation- ljvG LAN <br />Article Requiring Payment Amount Due <br />❑ p e ❑ COD ['Customs I S <br />❑ Final Notice: Article will be retumed to sender on <br />PS Form 3849, July 2013 <br />Delivered lav and Date <br />usps. corn <br />Delivery Notice/Reminder/Receipt <br />