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COMPLETE . SENDER: COMPLETESECTIONCOMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3. gnature ■ Complete items 1,2,and 3. A. Signature ❑Agent <br /> ■ Print your name and address on the reverse i _ ❑Agent ■ Print your name and address on the reverse X ❑Agent <br /> so that we can return the card to you. V Addressee so that we can return the card to you. <br /> ■ Attach this Card to the back of the mail piece, B. scaly ed Name) C. Date o Delive B ceiv d y(Printed Name) C. Date f Deliv <br /> Pi /�v ■ Attach this card to the back of the mailpiece, <br /> or on the front if space permits. `k,t� (, � — ,z or on the front if space permits. r <br /> 1. Article Addressed to: D. I elivery addr dif(erg from item 11 ❑ es 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes <br /> If YES,enter deliv adrlr ss below: ❑No If YES,enter delivery address below: ❑No <br /> BASKIN,DAVID ,, CRIPPLE CREEK&VICTOR GAUGE <br /> 14726 TILLEY ST ^ �;# RAILROAD COMPANY <br /> �� LtiIJ <br /> HOUSTON,TX 77084-7 1 1 5 BOX 459 <br /> CRIPPLE CREEK,CO 80813 <br /> II I IIIIII IIII III I I I i I I I I II IIIII II II IIIII IIIIII Service TyV 0 Priority Mail Express® <br /> 3. Service Type ❑Priority Mail Expresso <br /> ❑AdUIt�Sfgrlaturo ❑Registered MaiITM ❑Adult Signature ❑Registered MaiITM <br /> ❑AdulTSignatu clad Delivery ❑Registered Mail Restricted II I IIIIII IIII III I I I I I I I I II IIIII IIIIII IIII I I III ❑Adult Signature Restricted Delivery ❑Registered Mail Restr <br /> ❑Certified Mail® Delivery ❑Certified Mail® Delivery <br /> 9590 9403 0904 5223 6758 31 ❑Certified Mail Restricted Delivery ❑Return Receipt for ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delive Merchandise 9590 9403 0904 5223 6761 73 Merchandise <br /> ry ❑Collect on Delivery <br /> �- Artirlp Number(Transfer frnm cr:rvira lahall ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationTM ❑Collect on Delivery Restricted Delivery ❑Signature Confirmatic <br /> 9 Artinla Ni imher(Transfer from service label) ❑Signature Confirmatic <br /> d Mail ❑Signature Confirmation "'' �Mail g <br /> 7 015 1 0000 0779 680 1 d Mail Restricted Delivery Restricted Delivery 7 015 16 6 0 0 0 0 0 0 7 7 9 6 6 5 8 I Mail Restricted Delivery Restricted Delivery <br /> .500) 500) <br /> 'S Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Rece <br /> COMPLETE • ON DELIVERY SENDER: • SECTION COMPLETE THIS SECTION ON DELIVERY <br /> Complete items 1,2,and 3. v4.'-Signature A. nature <br /> ■ Complete items 1,2,and 3. <br /> Print your name and address on the reverse ❑Agent ■ Print your name and address on the reverse ❑Agent <br /> so that we can return the card to you. ❑Addressee so that we can return the card to you. El Address, <br /> Attach this card to the back of the mail piece, B. Rec ive y( i d me C. Dat of Delivery B. Received by(Printed Name C. D �of De� <br /> P ■ Attach this card to the back of the mailpiece, (Y ` <br /> or on the front if space permits. Lj <br /> or on the front if space permits. <br /> Article Addressed to: D. Is delivery address different from item 1? ❑yers 1 Article Ar1r1rpcSe0 to: D. Is delivery address different from item 1? ❑Yes <br /> TAHERAN,FAROKHZAD&HALEH If YES,enter delivery address below: [3No If YES,enter delivery address below: ❑No <br /> PARNIAN CHAPMAN,MARLENE J <br /> 4503 PAWNEE LN C/O CHAPMAN JR,JAMES R <br /> BROOMFIELD, CO 80020 PO BOX 944 <br /> CRIPPLE CREEK, CO 80813 <br /> II I IIIIII 1■I)III I I I I I i I I II IIIII IIIIII II II I I II I 3. Service Type ❑Priority Mail Express® 3. Service Type ❑Priority Mail ExpressQD <br /> T <br /> ❑Adult Signature ❑Registered Mail ❑Adult Signature ❑Registered Mail" <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted II I IIIIII IIII III I I I I I I I I II IIIII IN IIIII ❑Adult Signature Restricted Delivery ❑Registered Mail Restrlc <br /> ❑Certified Mail® Delivery ❑Certified Mail8 Delivery <br /> 9590 W3 0904 5223 6756 40 ❑Certified Mail Restricted Delivery ❑Return Receipt for 9590 9403 0904 5223 6761 35 ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise Merchandise <br /> Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationTM ❑Collect on Delivery <br /> ❑Signature Confirmation o n r Ala nu,.,tie./Transfer frnm.cervicp lahall ❑Collect on Delivery Restricted Delivery ❑Signature Confirmatior <br /> 7 015 1660 0000 0 7 7 9 5859 'Restricted Delivery Restricted Delivery 3i1 ❑Restricted Delve ture atior <br /> 7 015 16 6 0 0 0 0 0 0 7 7 9 6 719 �it Restricted Delivery Delivery <br /> S Form 3811.Julv 2015 PSN 7s1n-m-nnn-snss nnmpafir.Rehrrn Recpint ^n4 <br />