2016-02-12_GENERAL DOCUMENTS - M2001052

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• TIFIED MAIL° RECEIPT lc Mall Only ta��itui.auhitr.rr��ir•-fi�.m��rca�x�%�:fr, i;rv[rr-y.xxK•��r� r Postage I $ _ Postage: Certified Fee: Return Receipt r Total Postage &''f_ t. No, Vo. ZIP+ 0 z 0 5dSO 2• 3:4 7Q5 2016 5 0 5 Mr. Dave Hornung Kit Carson County PO Box 160 Iv Burlington, CA 80807 for Instructions SENDER COMPLETE MIS SECTION ■ Complete items 1, 2, and 3. Also complete Item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse so that we can return the card to you ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to' Mr. Dave Hornung Kit Carson County P 0 Box 160 Burlington, CA 80807 ,COMPLETE TNIS SECTION ON DELIVERY A. Signature x B. Received by (Printed Name) C'1'i.• l �Y tr D Agent ❑ Address, C Date of Dehve D/14 •/ D. Is delivery address different from item 1? 0 Yes If YES, enter delivery address below: ❑ No 3. Service Type 1f1 Certified Mail' ❑ Registered ❑ Insured Mail ❑ Priority Mail Express'" ❑ Return Receipt for Merchandi: ❑ Collect on Delivery 4. Restricted Delivery? (Extra Fee) 0 Yes 2. Article Number (Transfer from service label) 7014 2120 0001 7869 7209 PS Form 3811, July 2013 Certified Mail service provides the following benefits: • A Certified Mail receipt (this portion of the mailpiece; include applicable postage to Certified Mail label) ..0.4._1.1.6.... Se) over the return receipt service fee; and • A unique identifier for your mailpiece.endorse the mailpiece "Return Receipt • Electronic verification o�jv�(iddy or a1a/Requested," or see a retail associate for delivery. aa®iui3RL.For an electronic return receipt, • A record of delivery (including the recipient's a r��ttaa�l associate for assistance. To signature) that is retain by th88ostiC �f'j ytldrylieate return receipt, present Service® for a specified FOWL IT h11116666UW3' pustmarkea Certified Mail Important Reminders: receipt to the retail associate, who will • You may purchase Certified Mail service with provideadditionala duplicate return receipt for no First -Class Mail®, First -Class Package tfee. Service®, or Priority Mail® service. Restricted service, specifiedcifie providesbynm • Certified Mail service is notavailable for oor tv the to the addreaddrssee's rieby name, international mail. Include to pplicablee o postageaauthorized cover he • Insurance coverage is not available for restrictedadelivery too the purchase with Certified Mail service. However, mailpece "Restrict d Delivery,"lieror the the purchase of Certified Mail service does not retail associate for assistancor see a change the insurance coverage automatically • To ensure that your Certified Mail receipt is included with certain Priority Mail items. accepted as legal proof of mailing, it should • For an additional fee, you may request the bear a USPS postmark If you would like a following services: postmark on this Certified Mail receipt, please - Return receipt service, which provides you present your Certified Mail item at a Post nods rnqvmess ipt er lh pg atfOfIff „" Won't need a reci ten s sr a r c e � receipt, detach hardcopy re�f�lel ,g�gr�p�etr: St. De +• 0 A.. . label, affix it to the version. Fora ar copy re 1 re cit, . y postage, and complete PS Form 3811, i'. 'p , 'i ,' the mailpiece. Receipt; attach PS Form 3:. ,..T. , T: Save this receipt for your records. PS Form 3800, July 2014 (Reverse) PSN 7530-02-000-9047 ikc t osZ. Domestic Return Receipt rw • Sender: Please print your name, address, and ZIP+4® in this box• rn P,7 '0C-u-r! CD 0,0 — 3 van w8 n Z v P Qo N .: CD o m— 'o v