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COMPLETEL SENDER: •N COMPLETE THIS SECTIONON DELIVERY <br /> ■ Complete items 1,2,and 3, A. Signature <br /> • Print your name and address on the reverse X ❑Agent <br /> w 1 6 Lai .ve Can return the herd to you. ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, B.V eiv (Pri e C. Date of Delivery <br /> _or on the front if space permits. y ' <br /> 1, Article Addressed to: D. Is delivery address different fro ? ❑Yes <br /> If YES enter deli e,y address below ❑ Nc <br /> MR WALLACE F BURTIS <br /> 66 DARTMOUTH AVE. <br /> PUEBLO, CO 81005 <br /> III'III�I I'll I'IIIIIIIIIII ll III llllllll II I I I 3 w T b Fnu n r,la hldi "` <br /> El-'. � <br /> �..Vilull Jly�a J hbylSietdtl <br /> ❑Adult Signat[urewc Restricted Delivery ❑Registered Mail Restncted <br /> 9590 9402 2053 6132 7813 16 ❑Certified Malle Deli,ery <br /> ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> it Collect on Delivery Merchandise <br /> 2 Article Number(Transfer from service label) LJ Collect on Delivery Restricted Delivery 0 Signature ConfirmatlonTm <br /> �7 l-1 Inawed Mail ❑Signature Confirmation <br /> 7 016 2140 0000 2346 1377 7 v Insured Mail Restricted Delivery Restncted Delivery <br /> _ (over$500) <br /> PS Form 3811 July 2015 PSN 7530-02 000-9053 Domestic Return Receipt <br /> Postal <br /> 1 CERTIFIED MAILE) RECEIPT <br /> r%_ <br /> Domestic Mail Only <br /> m <br /> Certlttxl Mail <br /> rmu E Postage: $0.670 <br /> a Certified Fee: $3.350 <br /> t <br /> o C Return Receipt Fee: $2.750 -* <br /> C3 C <br /> o Pc Total Postage & Fees: - ;j, -,z�S�'770 <br /> ru <br /> f1J Total Postage and Fees <br /> _U Sent To <br /> o sii ' �N°•,°r�a� MR WALLACE F BURTIS--------- <br /> �fiy 3iare; Iw4m--------- 66 DARTMOUTH AVE. ---------- <br /> PUEBLO, CO 81005 <br />