2017-11-30_GENERAL DOCUMENTS - M2006017

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ll O V� SECTIONDELIVEPY SENDER: COMPLETE THIS SECTION COMPLETE THIS 1111111111111111110 ■ Complete items 1,2,and 3. A. Sign re Agent ■ Print your name and address on the reverse X ❑Addressee so that we can return the card to you. ■ Attach this card to the back of the mailpiece, B. Received by rill game) C. Date of Delivery or on the front if space permits. t 1 1. Article Addressed to: D. Is delivery address different from item 1? 0 Yes If YES,enter delivery address below: ❑No Maria L Jindra and Jeffrey M Jindra, Jemadojin, LLC 16449 Dearing Road Colorado Springs, CO 80928 -- 3. Service Type ❑Priority Mail Express® II I flllfl I'II I'I I II II II III I I I I I II IIIII I I I I I III ❑Adult Signature ❑Registered MaiIT"' ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted ❑Certified Mail® Delivery ❑Certified Mail Restricted Delivery ❑Return Recelpt for 9590 9402 2543 6306 1360 63 ❑Collect on Delivery Merchandise ❑Collect on Delivery Restricted Delivery ❑Signature Confirmation 2. Article Number(Transfer from service label) ❑Insured Mail ❑Signature Confirmation 7016 2140 0000 2345 8162 ❑Insured Mail Restricted Delivery Restricted Delivery cover$500 PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt Postal CERTIFIED oRECEIPT rU Domestic Mail Only ..D For delivery information,visit our website at wvvmusps.com�. co r� r n Postage; �- cern m $ Certified Fee: $0.460 ru Return C3 ❑ Receipt Fee, $3.350 o ❑ ' 2.750 k o E Total postage ge and F2• C3 Postage %11, .56 Total Postage and Fees ru .A Sent To r-1 Maria L Jindra and Jeffrey M Jindra C3 sfieeiand dpi? Jemadojin, LLC �riy 3Yare;155; 16449 Dearing Road Colorado Springs, CO 80928