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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3. A. Signature <br /> ■ Print your name and address on the reverse X� [I Agent <br /> so that we can return the card to you. ❑Addressee <br /> 11 <br /> ■ Attach this card to the back of the mailpiece, B. eceived by(Prince 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 /> Mr. Mack R. Louden <br /> Las Animas County <br /> 200 E. 1 st Street, Room 100 <br /> Trinidad, CO 81082 <br /> Ir +I If� ��I II I IIIII I III II I I I I II I(I I 3. Service Type ❑Priority Mail Express@ <br /> ❑Adult Signature ❑Registered Mai1T"' <br /> ❑Adult Signature Restricted Delivery ❑Registered Mad Restricted <br /> ¢Certified Mail@ Delivery <br /> .j590 9402 2053 6132 7828 25 ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> -. article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery 0 Signature ConfirmationTM <br /> ❑Insured Mail ❑Signature Confirmation <br /> ,7016 2710 0000 2965 0839 , ❑Insured Mail Restricted Delivery Restricted Delivery <br /> -- --------- ------ (over$500) <br /> 'S Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />