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DELIVERY <br /> ■ Complete items 1,2,and 3. A. Sign re <br /> 77Agent <br /> ■ Print your name and address on the reverse X ❑Addressee <br /> so that we can return the card to you. B. Received by rin ^ame) C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, , r <br /> or on the front if space permits. t <br /> D. Is delivery address different from ftem 17 Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑No <br /> Maria L Jindra and Jeffrey M Jindra <br /> Jemadojin, LLC <br /> 16449 Dearing Road <br /> _Colorado Springs, CO 80928 <br /> 3. Service Type ❑Priority Mail Express® <br /> II�'lll'II�III�IIIIIIII�II� I�IIII�'II�I IIIIIII ❑Adult Signature ❑Registered Mail'R <br /> 0 Adult Signature Restricted Delivery ❑Re�Istered Mail Restricted <br /> ❑Certified Mail® Delivery <br /> O Certified Mail Restricted Delivery ❑Return Receipt for <br /> Merchandise <br /> 9590 9402 2543 6306 1360 63 El Collect on Delivery Restricted Delivery 0Signature Confirmation'" <br /> 2. Article Number(transfer from service label) ❑Insured Mail ❑Signature Confirmation <br /> 7016 2140 0000 2345 8162 C1 Insured Mail Restricted Delivery Restricted Delivery <br /> (over$500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 <br /> Domestic Return Receipt <br /> Postal <br /> CERTIFIED , oRECEIPT <br /> n.! Domestic Only <br /> information, <br /> � o delivery ,; <br /> Ln Postag <br /> = certl e: a ;. <br /> m $ Certified Fee: $0.460 <br /> ru Return'Recei <br /> o pt Fee: $3.350 k <br /> C3 41f 2.750 <br /> C3 Total Postage� _ and F <br /> o Postage 56 <br /> TotalPostage and Fees <br /> ru <br /> —B Sent To <br /> r-q Maria L Jindra and Jeffrey M Jindra <br /> E3 s`veeiandApi? <br /> N Jemadojin, LLC <br /> �tiy era;M15- 16449 Dearing Road <br /> Colorado Springs, CO 80928 <br />