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Certified Mail Receipts <br /> COMPLETESECTIONON DELIVERY <br /> COMPLETE <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. X . ❑Agent <br /> ■ Print your name and address on the reverse ', j IMAddressee <br /> so that we can return the card to you. EAReceived b Pn'�ied Na e e) C. Da of D liv <br /> ■ Attach this card to the back of the mailpiece, ,S \ t �' <br /> or on the front if space permits. ���"` <br /> D. Is delivery address different from item 1? J Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: No <br /> Jordan C.Burdick <br /> Jordan C.and Jone L.Burdick <br /> 2707 Glad Rd. <br /> Loveland,CO 80539-9227 <br /> 3. Se ice Type <br /> ertified Mail® ❑Priority Mail Express- <br /> 0 Registered ❑Return Receipt for Merchandise <br /> ❑Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7 014 2120 0001 7 8 8 5 3391 <br /> (Transfer from service lab( <br /> PS Form 3811,July 2013 Domestic Return Receipt <br /> Postal <br /> ERTIFIED o RECEIPT <br /> 117 Domestic Only <br /> m <br /> m <br /> For delivery information,visit our website at wwwusps.comO. <br /> u7 �� it F � C11 I'llcc S2, � <br /> N <br /> Postage: $ ' 60 <br /> r-3 I Certified Fee: �✓(�; $�50 <br /> C3 Return Return Receipt Fee: '!$2.750 <br /> (Endorsems r <br /> C3 ;'+ <br /> Restricted I <br /> c3 (Eroorseme Total Postage and Fees: $6.56 <br /> ru <br /> r i Total Postage 8 Fees s <br /> ru <br /> t 7b Jordan C.Burdick <br /> Jordan C.and Jone L.Burdick <br /> r3 Sveei 8" UAT6.,' <br /> dP 2707 Glad Rd. <br /> N or PO Box No. Loveland,CO 80539-9227 <br /> City SYate ZIP+4-- ----------------• <br /> PS Form :00 <br />