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t <br /> SECTIONSENDER: COMPLETE THIS .MPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3. A. Signature n <br /> ■ Print your name and address on the reverse �)so that we can return the card to you. _ Add,, <br /> e Attach this card to the back of the mailpiece, B. R ived by(Printed Name) O C. Date of Deliv <br /> or on the front if space permits. 2 <br /> 1. Article Addressed to: D. Is delivery address differe A ite 11 Yes <br /> If YES,enter delivery address bkow. ❑No <br /> 806�1 <br /> MR GEORGE E OTTEN <br /> 11438 CR 19 <br /> FORT LUPTON, CO 80621 <br /> 3, Service Type 0 Priority Mail Express(a <br /> Il I'lll�)I'll I'I i II ll ll III l I l I ll ll III l I I I Ill ❑Adult Signature ❑Registered Mail <br /> O ftdult Signature Restricted Restricted <br /> Delivery p Registered Mail Restricted <br /> Certified WHO Delivery <br /> 9590 9402 2543 6306 1371 45 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 ConfirmationT" <br /> ❑Insured Mad 11 Signature Confirmation <br /> 7 016 2140 0000 2346 1230 Ll Insured Mail Restricted Delivery Restricted Delivery <br /> lover$500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br /> Postal <br /> CERTIFIED oRECEIPT <br /> Domestic Mail Only <br /> m <br /> ru For delivery informati6n,visit ON website at www.usps.com'. <br /> m Postage: $0.670 <br /> $3.350 <br /> Certified Fee: N;uu 23 <br /> Cl Return Receipt Fee: �IJ $2.750 tmark <br /> are <br /> we <br /> C3 <br /> C3 <br /> 6.770 <br /> C3 Total Postage &less $ <br /> s is <br /> -U f Total Postage and Fees <br /> a <br /> ...o Sena To <br /> a <br /> C3 °'FUN& MR GEORGE E OTTEN <br /> r` <br /> iy siaie;7i�+di------------ 11438 CR 19 <br /> PnRT I UPTON. CO 80621 <br />