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SECTIONSENDER: COMPLETE THIS SECTION COMPLETE THIS 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 mailpiece, B. Received by(Printed Name) C. Date of Delivery <br /> or on the front if space permits. <br /> 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes <br /> If YES,enter delivery address below: ❑No <br /> Kevin Rudolph <br /> P O Box 64 <br /> LaPorte, Colorado 80545 <br /> I I I I I III II I I I I I I I I I I III El Service Type ❑Priority Mail Express® <br /> El Adult Signature El Registered Mail- <br /> C�Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> Certified Mail@ Delivery <br /> 9590 9402 3488 7275 7535 80 ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> ❑Collect on Delivery Restricted Delivery O Signature Confirmation- <br /> 2. Artir��r i imhar/Transfer from service label) _. ❑Signature Confirmation <br /> 7016 2710 0000 2965 0884 cted Delivery Restricted Delivery <br /> PS Form 3811,July 2015 PSN 7930-02-000-9053 Domestic Return Receipt <br />