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�C <br /> ■ Cor <br /> item 4 if Restricted Delivery is desired. X0 Agent <br /> ® Print your name and address on the reverse ❑Addressee <br /> so that we can return the card to you. B. Received by(Printed Name) C Date of Delive <br /> ■ Attach this card to the back of the mailpiece, � 2— <br /> or on the front if space permits. ' <br /> D. Is delivery address different from item 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑No <br /> :r <br /> Rich ., Fretterd <br /> 10651-z` odland Ave, #16 <br /> 3. Se ice Type <br /> Woo and Park, CO 80863 Certified Mail® ❑Priority Mail Express- <br /> �j�]]]]]]Registered Return Receipt for Merchandise <br /> ❑Insured Mail 0 Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7 014 2120 0001 7885 7177 <br /> (Transfer from service labeo <br /> PS Form 3811,July 2013 Domestic Return Receipt <br /> Postal <br /> CERTIFIED oRECEIPT <br /> r`- Domestic <br /> For delivery information,visit our website at wwwusps.com!. <br /> CO <br /> Co <br /> r- Postage: $ 60 <br /> Certified Fee: 4 <br /> 06- t <br /> 0 <br /> c3 (Er Return Receipt Fee: $2.75 rJ� <br /> o R SepEr <br /> ( <br /> a <br /> ti Total Postage and Fees: $6. 7 <br /> r-1 Total Postage&Fees I$ <br /> ruSen t To <br /> .:Ira <br /> rq <br /> �& <br /> w 1065 Woodland Ave, #16 <br /> Woodland Park, CO 80863 <br />