2016-04-05_REVISION - C1981008 (9)

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C-1981-008 Inspection Notification SL -18 bfblahh • 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: Staats, Melvin and Lea Ann P.O. Box 10 Nucla, CO 81424 A. Signature Postal x � ❑_ Aunt Addressee TIFIED a RECEIPT ,0 Domestic O 9 Cr co Postage 1 $ $0.485 ��o� postage: $3,45 C3 C3 Certified Fee: (Enc Receipt fee: $2 g0 C3 O Re, Return (End $6.735 � Tot. Total postage & Fees: I t'U le Sent To Staat§, Melvin and Lea Ann Streeet&Apt. N� P.O. Box 10 or PO Box No. Imo- City State, ZtP N u c l a, CO 81424 PS Form 3800, July 2014 See Hevers— • 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: Staats, Melvin and Lea Ann P.O. Box 10 Nucla, CO 81424 A. Signature x � ❑_ Aunt Addressee B. Receive y (Printed Name) C. Date of Delivery D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ,<o 3. Service Type ❑ Certified Mail® ❑ Priority Mail Express - 0 Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ Collect on Delivery 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number (Transfer from service label) 7 014 2120 0001 7869 6066 PS Form 3811, July 2013 Domestic Return Receipt