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i <br /> SECTIONCOMPLETE THIS DELIVERY <br /> f SENDER: COMPLETE THIS SECTION COMPLETE I <br /> A. inature <br /> 9 ■ Complete items 1,2,and 3. A. Signature <br /> y f <br /> A. S ` ❑Agent print our name and address on the reverse " El Agent I <br /> El Addressee x` -. ❑Addressee <br /> r eca V b (P rated Name) C. Date of Delivery so that we can return the card to you. <br /> Y / ry B. ived by(Pnntetl ame) _ C. Date of De/livery 1 <br /> ( I � ■ Attach this card to the back of the mailpiece, � <br /> - j l{art �.O r G`C � l ❑ es l <br /> l�"�--� � ( or on the front if space permits. <br /> D. Is delivery address different from Item 17 ❑Yes 1. Article Addressed to: D. Is delivery address different from item ? <br /> If YES,enter delivery address below: ❑No If YES,enter delivery address below: ❑No <br /> GINN,LARRAINE JUKE � <br /> 17315 FOREST GREEN WAY <br /> ELBERT CO 80106 �} <br /> 3. Service Type ❑Priority Mall Express(D 3. Service Type ❑Priority Mail Expresso <br /> D Adult Signature D Registered MaliT"' D ❑Adult Signature Registered Mail- <br /> D Adult Signature Restricted Delivery D Registered Mail Restricted II I IIIIII Nil III I l I I I I I I II IIIII I ll II I II II I I III D Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> El Certified MaillD Delivery D Certified Mail® Delivery <br /> O Certified Mail Restricted Delivery D Return Receipt for 9590 9403 0903 5223 4128 19 D Certified Mail Restricted Delivery D Return Receipt for <br /> ❑Collect on Delivery Merchandise Merchandise <br /> ❑Collect on Delivery Restricted Delivery D Signaturo Confirmation'" D Collect on Delivery <br /> Asil D Signature Confirmation 2. Article Number(transfer from service label) D Collect on Delivery Restricted Delivery D Signature ConfirmationT" <br /> 9 8 8 Aail Restricted Delivery Restricted Delivery D Signature Confirmation Iri9 <br /> 7 015 16 6 0 0 0 0 0 0 7 7 9 2 8 6 5 Restricted Delivery Restricted Delivery <br /> Domestic Return Receipt PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br /> i <br /> T <br /> COMPLETE • ON , • • • DELIVERY <br /> -FOMPLETE THIS SECTION <br /> A. Signature A ent I Ae items 1,2,and 3. A. S rialure ❑Agent <br /> X �' g i 11 your name and address on the reverse �( f / ' ^_______ d <br /> Ll"s�'• ❑Addressee so that we can return the card to you. C❑Addressee <br /> t3. eIv by(Printed Name) C. Date of Delivery ® Attach this card to the back of the mailpiece, B.R eived b (Printed Name) C.Date of qDelivery <br /> or on the front It space permits. Q' ,- ��� ) <br /> D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: D. Is delivdry address dider nt from item 1? ❑Yes <br /> If YES,enter delivery address below: ❑No If YES,enter delivery address below: ❑No I <br /> GOLDSTEIN,HARRY G&JACOB <br /> C/O OPPENHEIM,STEPHEN I <br /> 405 RAGLE ROAD j <br /> SEBASTOPOL CA 95472 �I <br /> 3. Service Type D Priority Mail Express® 3. Service Type D Priority Mail Express® II <br /> D Adult Signature D Registered Mail I ❑Adult Signature D Registered Mail" <br /> D Adult Signature Restricted Delivery Registered Mail Restricted, II I IIIIII NII IIII I I I I I I I II IIIII I II I III I I I11 III D Adult Signature D nature Restricted Delivery Registered Mail D trictedl� <br /> D Certified Mail® De;very 0 Certified Mail® Delivery <br /> D Certified Mail Restricted Delivery D Return Receipt for 9590 9403 0903 5223 4129 l0 D Certified Mail Restricted Delivery D Retum Receipt for <br /> D Colect on Delivery Merchandise Merchandise <br /> D Signature Confirmation D Collect on Delivery <br /> p Collect on Delivery Restricted Delivery g 9 Arfirtln NnmMr frianefar rrnm mn.;re ration D Collect on Delivery Restricted Delivery D Signature Confirmation""D Signature Confirmation A911 D Signature Confirmation i <br /> 381 Nail Restricted Delivery Restricted Delivery 7j 015 1660 0000 0779 2 9 5 7 Aall Restricted Delivery Restricted Delivery <br /> )0) —,0) <br /> Domestic Return Receipt PS Form 3811.July 2015 PSN 7530-02-000.9053 Domestic Return Receipt i <br /> k <br /> i <br /> i <br /> i <br /> i <br /> i <br /> f� <br /> `i <br /> i <br />