2018-03-27_GENERAL DOCUMENTS - M2003003

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COMPLETE THIS SECTION ON Of-LiVERY SENDER: COMPLETE THIS SECrION ■ Complete items 1,2,and 3. A St ■ Print your name and address on the reverse X rn( 0 Agent (LJ--) ❑Addressee so that we can return the card to you. Received(Printed Name) ■ Attach this card to the back of the mailpiece, C.?aJe of vrery or on the front if space permits. J 1. Artirlo Addrpq.arl tn• - D. Is delivery address different from Rem 1? ❑Yes If YES,enter delivery address below: R No Tammy Sack Liberty Mutual Surety Denver 10800 E. Geddes Avenue Englewood,CO{8{01112 1{1 ll l�l�lll ll�l l��l ll ll l l li l II III 1II I/I'I II I I III 3. Service Type ❑Priority Mails ❑Adult Signature ❑Registered Mailail ❑Adult Signature Restricted Delivery ❑Registered Mail R- ❑Certified Mail® Del ery 9590 9402 3488 7275 7594 83 ❑Certified Mail Restricted Delivery ❑Merchandise ❑Collect on Delivery ❑Signature Confirr ❑Collect on Delivery Restricted Delivery 9 9 Ar irla Nr imher Mransfer from service/abBO ❑insured Mail El Signature Confir 7 016 2 710 0000 2965 3458 ❑Insured Mail Restricted Delivery Restricted Deliv' over$500) Ps Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Certified Mail service provides the following benefits: ■A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail ■A unique identifier for your mailpiece. associate for assistance.To receive a duplicate ■Electronic verification of delivery or attempted return receipt for no additional fee,present this deljvery, LJ USPS®-postmarked Certified Mail receipt l o the ■A record of delivery(TbgI% go retell associate. signature)that is retained by the Postal Service- -ffestricted defiverY ice,which provides for a specified period. delivery to the addressee specified by name,or Important Reminders:'t e# � the addressee's authorized agent ■You may Purchase Certified Mail service with Mult signature service,—which requires the y signee to be at least 21 years of age(not Fust-Class Mail*,First-Class Package Service•, available at retail). or Priority Mail®service. L` U*n� -Aduft signature restricted delivery service,which ■Certified Mail service is notav able for requires the signee to be at least 21 years of age international mail. and provides delivery to the addressee specified ■Insurance coverage is notavailable for purchase by name,or to the addressee's authorized agent with Certified Mail service.However,the purchase (not available at retail). Of Certified Mall service does not change the ■To ensure that your Certified Mail receipt is insurance coverage automatically included withcertain Priork accepted as 0f mailing,it should bear a Mail USPS postmark.R you would like a postmark on ■For an additional fee,and with a proper this Certified Mail receipt,please present your endorsement on the malipiece,you may request Certified Mall Item at a Post office-for the following services: postmarking.if you don't need a postmark on this -Return receipt service,which provides a record Certified Mail receipt,detach the bercOded portion of delivery(Including the recipient's signature). of this label,affix H to the maiipiece,apply You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece. electronic version.For a hardcopy return receipt, complab'p'Fdmt9etll�r t Room 215,Denver,Co 80203 Receipt attach PS Form 381 your mai p me; tII1P0R W.save this receipt for your rewrd, PS Forth 3800,Apru 2015(Reverse)PSN 7530-02-000.9047