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ENDER: 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 />COMPLETE THIS SECTION ON DELIVERY <br />B. Received by (Printed Name) <br />XJC, Lc1TTL! S <br />❑ Agent <br />❑ Addressee <br />C. Date of Delivery <br />WILLL MS, DALE L <br />PO BOX 740392 <br />ARVADA, CO 80006-0392 <br />111°1911311.119,1311.112!1.1111111,91311 II• <br />D. Is delivery address different from kern 1? 0 Yes <br />If YES, enter delivery address below: .0,1;;•C <br />0 <br />C1 <br />o <br />z <br />0 <br />3. Service Type ❑ Priority Mill Express® ilz <br />o Adult Signature 0 Registered Mail", c� <br />0 Adult Signature Restricted Delivery 0 Mail Restricted > <br />0 Certified Mat® CO <br />CO <br />0 Certified Mail Restricted Delivery 0 Return Merchandise Receipt for <br />o Collect on Deivery Merchandise . res <br />❑ Collect on Detvay Restricted Delivery 0 " <br />2. Piw Number (Transfer from service./abet) . , .. , ...a ❑ Signature Confirmation <br />1.-- <br />4.: vi <br />7 015 1660 0000 0779 5163 astrided Delivery Restricted Delivery .I� c } <br />PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt 1:.. a a X .. e <br />r: <br />t <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 />COMPLETE THIS SECTION ON DELIVERY <br />A. Signature <br />X <br />❑ Addressee <br />C. Date of Delivery <br />HUMPHRIES CORP <br />C/0 SMITH, HAL - <br />2454 WAYNOKA Z <br />COLORADO SPRINGS, CO 80915-1690 <br />D. Is delivery address different from item 1? 0 Yes <br />If YES, enter delivery address below: 0 No <br />3. Service Type 0 Priority Me Express® <br />0 Adult Signature 0 Registered Mani <br />❑ Adult Signature Restricted Delivery ❑ RDeptstered Mat Restricted <br />0 Cert®ad McIR <br />a Certified Mall Restricted Delivery a Return Receipt for <br />0 Collect on Delivery Merdlandlse <br />2. Article Number (Transfer from service label) ❑ Coked on Delivery Restricted Delivery ❑ Signattre CalirlimilliOr'r" <br />ywl a Signature Confirmation <br />7015 1660 0000. 0779 5316 Restricted emery Restricted Delivery <br />1111.111!1!1111311.111,1151151j1.1!!!11210111 <br />PS Form 3811, July 2015 PSN 7530-02-000-9053 <br />Domestic Return Receipt <br />1� <br />lihIl II <br />000 a a❑ <br />I <br />1114111 <br />..v_v <br />vi0000ao <br />0 <br />0 <br />LU <br />W <br />a <br />0 <br />U <br />w <br />z <br />w <br />T <br />17 <br />co <br />10 <br />O <br />8 <br />ru <br />I7- <br />-n <br />Er <br />.0 N <br />J% <br />a� <br />uiO <br />Eo <br />O <br />PI <br />E l -n <br />o <br />l PS Form 3811, July 2 <br />I <br />