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'j <br /> COMPLETE • <br /> ■ Complete items 1,2,and 3. A. Signature <br /> ■ Print your name and address on the reverse X El Agent <br /> - u-o + ,.di,i eturl,t he card to you. ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, <br /> B. eived y(Printe Na C. Date of Delivery <br /> or on the front if space permits. <br /> 1 Article Addressed to: Is delivery,address Brent from item 1? El Yes <br /> Rod Clayton If YES enter delivery address below. ❑ No <br /> Clayton Sand and Gravel <br /> P.O.Box 2 , <br /> Hooper,CO 81136 <br /> ' 3 Service Type _Fnc,nty Mai,Express( <br /> L'Adult bignatute �.Meyisterct7 Mail— <br /> ❑.adult Sig,iatuie Festnctea Delivery Ci Registereo Marl Restricted <br /> ❑Certified MailO Delivery <br /> U Certified Mail Restricted Delivery ❑Return Receipt for <br /> _ ❑Collect on Delivery Merchandise <br /> 2 Article Number(Transfer from service label) Ll Collect on Delivery Restricted Delivery ❑Signature ConfirmationT^" <br /> hail O Signature Confirmation <br /> 7 016 2 710 0000 2 9 6 5 0 914 O),I Restricted Delivery Restricted Delivery <br /> PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br /> Postal <br /> CERTIFIED O . ■ <br /> Domestic Mail Only <br /> t� <br /> Er <br /> o ,0.1 to 1.0 oz. rObLage <br /> Ln �, Certified Fee: $3.45. <br /> Er Return Receipt Fee: $2.75 <br /> Er $ <br /> ti EA <br /> C3 p Total Postage& Fees: $6;67� <br /> o [:I < <br /> OO []Adult Signaturestri Rected Diveryel $ *9J), <br /> 9 <br /> ID Postage L®J <br /> rl $ ®- <br /> r+- Total postage and Fees <br /> ru $ <br /> -A Se <br /> r_q Si't Rod Clayton -------------------------------------------- <br /> t_3 Clayton Sand and Gravel <br /> P.O.Box 2 ----- ---------------------------------------- <br /> G�n Hooper CO 81136 <br /> PS Form :11April 201511 I0 •1 <br />