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Certified Mail Receipts <br /> SECTIONCOMPLETE THIS . <br /> SENDER: COMPLETE THIS SECTION <br /> ■ Complete items 1,2,and 3. A. nature <br /> [3 Agent <br /> ■ Print your name and address on the reverse ❑Addressee <br /> so that we can return the card to you. <br /> ■ Attach this card to the back of the mailpiece, <br /> Received by(Printed Name) C. Date of Delivery <br /> or on the front if space permits. <br /> 1. Article Addressed to: D. Is delivery address different from Rem 1? ❑Yes <br /> if YES,enter delivery address below: ❑No <br /> Daniel M Russell <br /> 9042 S. 106 Rd. <br /> Alamosa, CO 81101 <br /> 3. Service Type ❑Priority Mail Express® <br /> II I�III'I I II I'I I II II II III I I I I I II I II I I I ICI I III ❑Adult Signature ❑Registered Mail <br /> 14 <br /> 0 R Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> 19Certified Mail® Delivery <br /> 9590 9402 2543 6306 1365 06 El Certified Mail Restricted Dellvery ❑Return Receiptfor <br /> ❑Collect on Delivery Merchandise <br /> ❑Collect on Delivery Restricted Delivery 0Signature ConfinnationTM <br /> 2. Article Number(Transfer from service labeo ❑Insured Mail ❑Signature Confirmation <br /> 7 016 214 0000 2345 7 6 6 0 " 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 /> DomesticCERTIFIED MAILP RECEIPT <br /> -0 For delivery information,visit our website at www.usps.com'. <br /> Ln <br /> ,ram` a <br /> ca``i Postage: G ` <br /> m $ <br /> "j � Certified Fee: $3.350 y - <br /> ❑F <br /> o ❑F Return Receipt Fee: JU G 5 <br /> C3 ❑< <br /> ❑E Total Postage & Fees: <br /> C3 Postage <br /> r9 Tota$ <br /> ru l Postage and Fees <br /> S <br /> —0 Sent To <br /> r-q <br /> o Sireefa,K/AFiiwd., Daniel M Russell <br /> N <br /> �7fy Saie; 1P+d+ 9042 S. 106 Rd. ------------------------- <br /> .,, ., Alamosa,CO 81101 <br />