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Certified Mail Receipts <br /> SENDER: COMPLETE THIS SECTI <br /> ON COMPLETE THIS DELIVERY <br /> ■ Complete items 1,2, and 3. A. Signature, <br /> ■ Print your name and address on the reverse / 0 Agent <br /> er <br /> ul d'W we t; t return the Cad to YOU. 11 Addressee <br /> ■ Attach this Card to the back of the mailpiece, eceived by(Printed Name) C. Date of Delivery <br /> _ or on the front if space permits. _ <br /> 1 Article Addressed to- Ide2112 <br /> delive <br /> ry address different from item 1? ❑Yes <br /> - YES.enter deiive.y address below. [] No <br /> Jack Clark, Jr. <br /> P.O. Box 767 <br /> S[lverton, CO 8143 <br /> !c t ?y pt3priority Mai EApresse <br /> s1w-atureHeytsteretl Matt'"Signature Restricted Delivery ❑Registered Mail Restricted <br /> ed Mail® Delivery <br /> ied Mail Resficted Delivery ❑Return Receipt for <br /> t on Delivery Merchandise <br /> t neiivery Restricted Delivery ❑Signature ConfirmationIm <br /> 7 014 2120 0001 7 8 8 5 3483 u Signature Confirmation <br /> Restricted Delivery Restricted Delivery <br /> PS Form 3$�I 1, July 2015 PSN 7530-02-000-9053 <br /> Domestic Return Receipt <br /> Postal <br /> w , ® w ■ <br /> m Domestic Mail OnlY <br /> m For delivery information,visit our website at wwwwspsxorn�. <br /> ED Postage <br /> Certified Fee: $0.460 <br /> r3 Fee:R Return Receipt F $3.350 <br /> C3 (Endot $2.750 <br /> Rest Total Posta O (Ender ge and Fees:' <br /> nu $6.56 <br /> tiTotal Postage&Fees $ :e@ r <br /> Sent To <br /> � Jack Clark, Jr. <br /> C3 P.O. Box 767 ------------------ <br /> r wPo Box No. <br /> _- Silverton, CO 8f43.3 ----------------------- <br /> cny ware,iiw <br />