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■ Complete items 1, 2, and 3. <br />■ Print your name and address on the reverse <br />so that we can retum the card to you. <br />• Attach this card to the hack of the mallpiece, <br />or on the front N space permits. <br />0.1 pple Creek Black Hills <br />Energy <br />PO Box 270868 <br />kIIAI INlltlltlllllll II111111(11191' <br />0.9 �- - "W <br />D. is delivery <br />If YES, on <br />`4 <br />3. Service Type <br />9590 9402 3531 7275 2536 92 <br />p' ply Md <br />UAdult Soud= <br />Psg4ww Meru <br />AduR Signshn Re:tdrfed peNM <br />p MMaX FASbided <br />0 CerdAed Mag® <br />=ed <br />13 CWIfiad Mall ReableI- Y <br />a <br />0Cotlecton Oe9very <br />ePWCWfor <br />2. Article Number Riarmw hom servfee & bei --i 0 cow an Dd mY PAe rwed DaWery E3 �T" <br />71117 1000 0001 0753 7009 *k ted DOMY RaWeted Delvery <br />Ps Form 3811, July 2015 PSN 7wo-o2-o0p-9o53 Domestic Return Receipt t <br />■ Complete items 1, 2, and 3. <br />■ Print your name and address on the reverse <br />so that we can return the card to you. <br />to Attach this card to the back of the rnallpiece, <br />or on the front if space pwmft& <br />7N.*poBoxS2O Cripple Creek heights LLC <br />117 5 Edison St <br />��I���II�IL111I�1i�lll�1� �l ���l��lii ��lIIIl�I <br />9590 9402 3531 7275 2536 78 <br />X <br />0 Agent <br />❑ Addre <br />C. <br />yii <br />S enter delivery address h�eiowt © No <br />53D <br />3. Service Type <br />0 PdaRy Md BPMNS <br />SWWAM <br />0 Re*tered MON- <br />C3 d� SViahn Rest kW Dekvery <br />0 =9d Md Reetrk wd <br />MCKUfiod MOM <br />CNUW Mal PMfttted Dd—Y <br />0 �PACA tfar <br />5 Catlett on DeBvery Rsetrlcied Dativary <br />0 ��r <br />T 7 017 Joao 0001 0753 6989 UsWoW Ddv" Reel+toted l <br />Domestic Fletum Receipt <br />PS Form 3811, July 2015 PSN 75W42 -000-90M I <br />