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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 • ermits. <br />1. Article Addressed to: <br />CHAPMAN, MARLENE J <br />C/0 CHAPMAN JR, JAMES It <br />PO BOX 944 <br />CRIPPLE CREEK, CO 80813 <br />CO1:1PLETE THIS SECTION ON DELIVERY <br />ure <br />11111.111111.11!1,1,11.1,1,131111311,1,1!15111 II 11I <br />137 <br />by (Printed Name) <br />(',h ((N.C./N. <br />0 Agent ' <br />0 Addressee <br />C. Date of Delivery I <br />I <br />D. Is delivery address t from Item 1? C1 Yes <br />If YES, enter delivery address below: CI No <br />2. Article Number (Trans/,( from service label) <br />3. Service Type <br />O Adult Siprmture- <br />0 Adult Signature Restricted Delivery <br />0 Certified Mae® <br />O Certified Mae Restricted Delivery <br />O Collect on Delivery <br />O Collect on Delivery Restricted Deivery <br />7 015 1660 0000 0779 4388 <br />�I Restricted Deily"Tlwa•a NW/ <br />PS Form 3811, July 2015 PSN 7530.02-000-8053 <br />0 Priority o RegisteredM i <br />O =red Mail Resident i <br />O Return Receiptid <br />Merchandise <br />O Signature ConfirmallonTM <br />O Signature Confirmation I <br />Restricted Delivery <br />• <br />Domestic Return Receipt <br />. I <br />