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COMPLETE • COMPLETE • ON DELIVERY <br /> ■ Complete items 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. ❑Addressee <br /> ■ Attach this card to the back of the mail iece, B R�Jy�by(Print e) C. Date of Relive <br /> ry- <br /> or on the front if space permits. p men <br /> 1. Article Addressed to: D. Is delivery address different from Item 1? ❑Yes <br /> If YES,enter delivery address below: ❑No <br /> James Shelton <br /> 19855 Chelton Road <br /> Ramah, CO 80832 <br /> II I�III�I I II�'� II(�I I II I �� II III III III III 3. Service Type ❑Priority Mail Express® <br /> ❑Adult Signature ❑Registered MalIiiTMT"' <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> ve <br /> 9590 9402 3488 7275 7579 39 0 certified Mall® Ret <br /> ❑Certified Mail Restricted Delivery ❑Returnum Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2 Crtirlra Nr imhar(/ransfer from service tahei) ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationTm <br /> ❑Insured Mail ❑Signature Confirmation <br /> 7 016 2 710 0000 2965 4134 ❑Insured Mail Restricted Delivery Restricted Delivery <br /> (over$500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br /> Postal <br /> CERTIFIED'MAILP RECEIPT <br /> rrt DoinestiC Mail Only <br /> rq <br /> L') <br /> `B Certrried i�a l Fee <br /> � $ <br /> EM IceS&Fees(check box,add t asp e <br /> O Retum Receipt(hardcopy) s, <br /> C3 ❑Rotum Receipt(electronlc) $ P�3fnid(IC. <br /> IM ❑Certified Mail Restncted DeWory <br /> O ❑Adult Signature Required $ _ e <br /> El Adult Signature Restricted Deiivm$ <br /> E3 Postage �4 <br /> rq <br /> r` $ '' <br /> ru Total Ponta F ;� a <br /> $ .t. L1 \ <br /> Sent To <br /> Siieei andApt No.,SiPO Boz I(!o. - <br /> r\- James Shelton <br /> cry stare;ziP+7j3---------------------- 19855 Chelton Road --- <br /> Ramah, CO 80832 <br />