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:SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> 11 Complete items 1,2,and 3. A. 51g ture ,� � <br /> s Print your name and address on the reverse X f l/"y �d,,4, '� ©Agent <br /> so that we can return the card to you. ff����" ©Addressee <br /> * Attach this card to the back of the mailpiece, B. Received by(Print Name) C. ate of D livery <br /> or on the front if space permits. <br /> 1. Article Addressed to: _ O. i delivery ad r iffer m from item . Yes <br /> —- - - If YES,enter delivery address below: © No <br /> US BLM <br /> 3028 E. Main Street <br /> Canon City, CO 81212 <br /> l I Y! I { 3 Service Type El Priority Mail Express® <br /> II III I III II I I I I �I I III1I I I I4 II I I!II ❑Adult Slgnaturo d Registered Mal <br /> Q 9duR r�e Slgnatu ReRestrictedtelivery ❑fle�lste[ed Mail Restricted <br /> Certiried Mail® QMery <br /> 9590 9402 2145 6193 9964 76 ❑certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandiss <br /> P. Article Number(Transfer from service labe)} ❑Collect on Delivery Restricted Delivery ❑Signature Confirmation"' <br /> —' -dell ❑Signature Conlirmation <br /> 7016 0750 0000 81414 5 2 7 9 all Restricted Delivery Restricted Delivery <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br /> ,< Lanon City, CO 81212 <br /> . DELIVERY <br /> ■ Complete items 1,2,and 3. A. Signature <br /> ® Print your name and address on the reverse X •3 0 Agen# <br /> so that we can return the card to you. <br /> r � f`Addressee <br /> * Attach this card to the rack of the mailpiece, B. eeNi ced by(Printed Name) C. Date of Delivery <br /> or on the front if space permits. _ ✓ _ <br /> 1. Article dressed ta: D. Is delivery address different from item 1? Oyes <br /> If YES,enter delivery address below: ❑ No <br /> William Mosier <br /> 405 N. Diamond Avenue <br /> Canon City, CO 81212 <br /> �Itt`I ��I I��I I�II III II® III I�I I I I I II 3. Service Type L Prierit Express <br /> Q Adult Signature 0Reglskered © <br /> ered MailrA <br /> ID Adult Signature Restricted Delivery U Registered Mail Restricter <br /> L 0e1(raw rvtPN r7o i.ory <br /> 9590 9402 2145 6193 9964 45 ❑certified Mail Restricted Delivery CS Retum Receipt for <br /> ❑Collect on Do Wery Merchandise <br /> 2-Articln Number fTransfeLfwrn service fabefi__.-. ._ ❑Collect on Delivery Restricted Delivery Q Signature Confirrnatien— <br /> ;, 1 ❑Signature Confirmation <br /> 7 016 0750 0000 8434 5309 oyil Restrictad Dc1'very Restricted Delivery <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />