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SENDER: coMPLETE THIS SECUON <br /> COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3. �. X•M <br /> i <br /> ■ Print your name and address on the reverse Agent ; <br /> «,tf,M we(.an return the card to you �Yr ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, B. Received b nrited Name) C. D to of )elivery <br /> _ or on the front if space permits. <br /> 1 Article Addressed to: D. Is delivery address different from Item 17 ❑Yes <br /> If YES eutef deliver addiess Gelow i"o <br /> Schmidt Site <br /> Dale Schmidt <br /> 472 Meadows Dr. <br /> Pagosa Springs,CO 81147 <br /> 3 Service Type G Pnont;Mai,Expresse <br /> Adult Siynature G Reyisterea Mail!, ' <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted' <br /> ❑Certified Maile Delivery ! <br /> ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> _ ❑Collect on Delivery Merchandise <br /> 2_ Article Number(Transfer from service label) I_]Collect on Delivery Restricted Delivery ❑Signature ConfirmationTm t <br /> ^ ^ 14ail ❑Signature Confirmation <br /> oil Restricted Delivery Restricted Delivery <br /> 7 016 2 710 0000 2965 0921 <br /> PS Form 3811 July 2015 PSN 7530-02-000-9053 Domestic Return Receipt ' <br /> o <br /> ru <br /> Q' <br /> C1 ',bU.4l <br /> � Certified u•� to 7.0 oz. Postage $3.4! <br /> $ <br /> Certified Fee: $2,7; <br /> rrUU Extra Ser Return Receipt Fee: <br /> Retum $6.67 <br /> Retum <br /> 0 0—ffiE Total Postage & Fees: <br /> CI ❑Adult: ^ <br /> Postage - - <br /> rl $ <br /> Total postage and Fees <br /> ru $ ^,v <br /> Sent To Schmidt Site <br /> Dale Schmidt ---- <br /> ra ----- 472 Meadows Dr. <br /> -----=--------'-may <br /> Street an CO 81147 <br /> Pagosa Spring <br /> r. Ctty State,�,._� <br />