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Certified Mail Receipts <br /> A. <br /> CONIPLETE THIS SECTION SENDER: COMPLETE THIS SECTION <br /> DELIVERY <br /> ■ Complete items 1,2,and 3. A. ignature <br /> ■ Print your name and address on the reverse +' ❑Agent <br /> so that we can return the card to you. ddressee <br /> ■ Attach this card to the back of the mailpiece, el by(Plintpof Name) C. DTte f De very <br /> or on the front if space permits. �� <br /> 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes <br /> If YES,enter delivery address below: ;tfNo <br /> Mr. Jordan Burdick <br /> Z707 Glade Road <br /> Loveland.CO 80538 <br /> 3. Service Type ❑Priority Mail Express® <br /> II I'III�I III I'I I II II II III I I I I I II II I I II IN III ❑Adult Signature 11 Registered MailTM <br /> ❑Adult Signature Restricted Rcted Delivery Registered Mail Restricted <br /> IY�Certified Mail® Delivery <br /> 9590 9402 2543 6306 1364 76 Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery ❑Signature Confirmationrm <br /> ❑Insured Mad ❑Signature Confirmation <br /> 7 016 2140 0000 2345 7592 Insured Mail Restricted Delivery Restricted Delivery <br /> (over$500) <br /> Ps Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br /> Postal <br /> ru CERTIFIED MAIL@ RECEIPT <br /> ir Domestic Mail Only <br /> Ln <br /> Ln <br /> 70.nMedMall Fee V <br /> m $ <br /> ru Extra <br /> C3 13P1 Postage: ,$ ; <br /> C3 00,Certified Fee: f 4350 <br /> 0 0'Return Receipt Fee: <br /> C3Pow - 2047 " <br /> ru Total Total Postage and Fees: 6.56 � <br /> 8 •� <br /> Sent To <br /> C3 StieeterldApt7c6:,-oiFk7 oiriPa Mr. Jordan Burdick --------- <br /> �y ;e, +---------------. 2707 Glade Road <br /> Loveland,CO 80538 <br /> 11 1 I 1•1 ZljaailV[>7/.Yii111.111.Y1 <br />