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SENDER. •MPLETE THIS SECTION COMPLETE • ON DEVVERY <br /> ■ Complete Items 1,2,and 3. A. Signatu <br /> ■ Print your name and address on the reverse i x F4.-s'- ❑Agent <br /> so that we can return the card to you. ❑Addressee <br /> IIIAttach this card to the back of the mailpiece, B. eceived by(Printed Name) C.Date of Delivery <br /> or on the front if space permits. <br /> 1. Article Addressed to: " D. Is delivery address different from Item 1? 0 Yes <br /> �i It YES,enter delivery address below: Q No <br /> Mr.Theodore and Mrs. Katherine Dean 11� <br /> 13746 County Road 8 i <br /> Fort Lupton, CO 80621 <br /> 1.� <br /> ( ( 3. Service Type O Pdotity Mail Express® <br /> (IIIIII�1«�II'III�I��IIIIIIII l�Ill'II�III�'I�I I I 11 It Adult Signature Q Registered Mall 0Adult Signature Restricted Delivery O Regtered Mall R <br /> eshicte <br /> Certified Mall® Dsy <br /> 9590 9403 0406 5163 0692 05 Q Certified Mail Restricted Delivery ❑Return nReceipt for <br /> IJ Collect on Delivery Merch!1 Signature CortfirmatfonTM <br /> dise <br /> 2. Article Number(Transfer from service label) El Collect on Delivery Restricted Delivery <br /> Insured Mali Q Signature Confirmation <br /> 7 01,5 0640 0004 7321 2521 Insured Mall Restricted Delivery Restricted Delivery <br /> rt over3500)� ��gg <br /> PS Form 3811,April 2016 PSN 7530-02-000-9053� Domestic Return Receipt <br /> POStal Service" <br /> CERTIFIED MAILO RECEIPT <br /> r� <br /> r1J DOMeStic MailOnly <br /> t17 <br /> !1! Vir delivery information.visit our webrite at wwwuspsxom�. <br /> r� 3 . • 7 <br /> r1J Certified Mail Fee � <br /> ms <br /> � tra ery ces&Fees fwur�eox.addrea as agrowwre) <br /> � �Rulum Receipt n><vdrxg'Yl 5— - <br /> ❑Retum Rocdpt(ak:'vnic) s Postma* <br /> p ❑certirred r tal Rea[nctud Oe4vay $ Here <br /> C7 ❑Adult Signeh,a Req..�red S' _ <br /> Adult Signature FtsSMrttd DeLvery� <br /> `� Total ostage and Fees <br /> O <br /> S <br /> r� Mr.Theodore and Mrs. Katherine Dean <br /> 13746 County Road 8 <br />