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SECTIONCOMPLETE THIS ON'DELIVERY <br /> COMPLETE <br /> Sign ,. '� <br /> ■ Complete items 1,2,and 3. A. ❑Agent <br /> ■ Print your name and address on the reverse X y i ❑Addressee <br /> so that we can return the card to you. ' <br /> eceived by(Pri to Name) C. Date of Deliry <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front if space permits. <br /> 1. Article Addressed to: D. Is delivery address different from item 1? Y <br /> If YES enter deh�ery addrEs�-.btelow ❑ No <br /> Mr. Ricky W. Mitchell <br /> P O Box 10 <br /> Bennett, CO 80102 i <br /> ��'III�II'i1I�I114I��I�14l{IIt IlI{Illl�lll'�� 3. ServicAdult Signature <br /> CRegist Mau aij- s <br /> G Atluit Signature ❑Registered MaliT"' <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> >:�erbfied Mail<R Delivery <br /> 9590 9402 2053 6132 7824 05 D Certified Mail Restricted Delivery o Return <br /> El Collect on Delivery ❑Signature ConfirmationT"' <br /> -- - — ❑Collect on Delivery Restricted Delivery 0 Signature Confirmation <br /> 9 Article Number tTransfer from service label) ❑Insured Mail <br /> 7 016 2 710 0000 2965 2857 CJ Insured Mail Restricted Delivery Restricted Delivery <br /> (over$500) <br /> PS Form 3811 July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br /> Certified Mail service provides the following benefits: <br /> m A receipt(this portion of the Ce 'ed M'i label). for an electronic return receipt,see a retail <br /> m A unique Identifier for yTr ma'p&Z_ associate for assistance.To receive a duplicate <br /> m Electronic verificAti i of deli ipt for no additional fee,present this <br /> delivery. � �� USPS®-postmarked Certified Mail receipt to the <br /> ■A record of deli*y,,(i d,0ingryttk 2 dfpkrd j j3/ retail associate. <br /> signature)that is retained b 4elivery service,which provides <br /> for a specified period, delivery to the addressee specified by name,or <br /> to the addressee's authorized agent <br /> important Aemirrders: ter✓ Adult signature service,which requires the <br /> u You may purchase Certified Mail service with signee to be at least 21 years of age(not <br /> First-Class MaV,First-class Package Service°, available at retail). <br /> or Priority Mail'service. -Adult signature restricted delivery service,which <br /> m Certified Mail service is not available for requires the signee to be at least 21 years of age <br /> international mail. and provides delivery to the addressee specified <br /> m Insurance coverage is not available for purchase by name,or to the addressee's authorized agent <br /> With Certified Mad service.However,the purchase (not available at retail). <br /> of Certified Mail service does not change the m To ensure that your Certified Mad receipt is <br /> Insurance coverage automatically included 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 /> m 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.If 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 ire mailpiece,apply <br /> You can request a hardcbp�pj� rqo@ gr r�postage,and deposit the mailpiece. <br /> electronic version.For aTii CC�hpb rettriNNrn�tte�c' c <br /> complete PS Rrin 3811,Domestic Retum <br /> Receipt attach PS Form 3811 to your mailpiece; 1:,7POIr�Afrp Sava this receipt for your records. <br /> Ps r-orm 3800,Apdi 2075(Reverse)PSN 7530-02-000-9047 <br />