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Certified Mail Receipts <br /> l <br /> SECTION . <br /> SENDER: COMPLETE THIS SECTION COMPLE7 <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. ❑Agent <br /> ■ Print your name and address on the reverse X TI Addressee <br /> so that we can return the card to you. Received by(P'nted Name) C. Da of D live <br /> ■ Attach this card to the back of the mailpiece, �- IV/� <br /> or on the front if space permits. <br /> D. Is delivery address different from item 17 U Yes <br /> 1. Article Addressed to: if YES,enter delivery address below: E3 No <br /> Jordan C.Burdick �l^^ <br /> Jordan C.and Jane L.Burdick <br /> 2707 Glad Rd. <br /> Loveland,CO a0539-9227 <br /> 3.Certified <br /> Ice Type <br /> Mail" ❑Priority Mail Express- <br /> Registered ❑Return Receipt for Merchandise <br /> ❑Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7 014 212 0 0001 7885 3391 <br /> (Transfer from service labf <br /> PS Form 3811,July 2013 Domestic Return Receipt <br /> Postal <br /> DomesticCERTIFIED MAIL®R RECEIPT <br /> 117 <br /> m <br /> m <br /> Ln <br /> co <br /> `ID Postage: <br /> Certified Fee: �'/I�; . $3lI 50 <br /> C3 Return Return Receipt Fee: �'$2.750 <br /> C3 (Endorseme <br /> ResMoted) <br /> c3 (Endorseme Total Postage and Fees: a $6.56 <br /> ti <br /> ri rLJ Total Postage 3 Fees <br /> -2- Sari 7b Jordan C.Burdick <br /> rq Jordan C.and Jane L.Burdick <br /> l� 3YreetWXd FA1UZ 2707 Glad Rd- -' <br /> r- or PO Box No. Loveland,CO 80539-9227 <br /> City State,Z1P+4 -----^------.._. <br /> PS Forin :.. <br />