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SECTIONSENDER. COMPLETE THIS •MPLETE THIS SECTION ON DELIVERY <br /> ■ •Corripldte itefns 1,2,and 3. A. Signature <br /> ■ Print your name and address on the reverse X ❑Agent <br /> so that we can return the card to you. 0 Addressee <br /> ■ Attach this card to the back of the mailpiece, Received by 7ni <br /> t Name) C. Date of D ' ry ; <br /> or on the front if space permits. 01 <br /> i Article Addressed to: D. Is delivery address different from Item 1? ❑Yes <br /> If YES,enter delivery address below: ❑No <br /> Russell Van Egmond - <br /> 546 Doe Valley Rd. <br /> Guffey,CO 80820 <br /> ~ 3. Service Type ❑Priority Mail Expresse <br /> ❑Adult Signature D Registered Mail- <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restncteo' <br /> filed Male Delivery <br /> 16 Certified Mail Restricted Delivery O Retum Receipt for <br /> ❑Collect on Delivery Merchandise <br /> A,+i,l.nil,,.,K—fr a—f.,f—--i—rat,on ❑Collect on Delivery Restricted Delivery El Signature ConfirmationTM <br /> ❑Signature Confirmation <br /> 7 016 2 710 0000 2965 3052 I Restricted Delivery Restncted Delivery <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br /> Certified Mail service provides the following benefits: <br /> ■A receipt(this portion of the Certified Mail laW. for an electronic return receipt,see a retail <br /> ■A unique Identifier for your mailpiece. associate for assistance.To receive a duplicate <br /> ■Electronic verification of rralivery or attempted return receipt for no additional fee,present this <br /> reocre—4tmarkad Certified Mall receipt to the <br /> delivery. M-1991-080 MV-2018-005 <br /> ■A record of delivery(In( rhkh Letter provides <br /> NOV Le <br /> signature)that is retain rh[chx1fiedro name,or <br /> for a specified period. ERR W H E AJ W d agent. <br /> Important Reminders: _, , .-ich requires the <br /> ■You may purchase Certified Mall service with signee to be at least 21 years of age(not <br /> First-Class Mails,First-Class Package Service®, available at retain. <br /> or Priority Mail*service. -Adult signature restricted delivery service,which <br /> ■Certified Mall service is notavailable for requires the signee to be at least 21 years of age <br /> International mail. and provides delivery to the addressee specified <br /> ■Insurance coverage Is notavailabie for purchase by name,or to the addressee's authorized agent <br /> with Certified Mail service.However,the purchase (not available at retalo. <br /> of Certified Mall service does not change the ■To ensure that your Certified Mail receipt Is <br /> insurance coverage automatically induded with accepted as legal proof of mailing,it should bear a <br /> certain Priority Mail items. USPS postmark If you would like a postmark on <br /> ■For an additional fee,and with a proper this Certified Mail receipt,please present your <br /> endorsement on the mailpiece,you may request Certified Mail item at a Post Office'for <br /> the following services: postmarking.it you don't need a postmark on this <br /> -Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion <br /> of delivery(Including the recipient's signature). of this label,affix it to the mailpiece,apply <br /> You can request a hardcopy reium receipt or an appropriate postage,and deposit the mailplece. <br /> electronic verst K-f4rabxk4py fei".F ,c t, ! oom 215,Der1NP.f.'CO �203 <br /> complete PS Form 3811,Domestic Return <br /> ReceipC attach PS Form 3811 to your mailpiece; IMPORTAMP.Sare this receipt for yotQ rewrde. <br /> Ps Form 3800,Apra 2015(Reverse)PSN 7530-02.000.9047 <br />