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PostalTM <br /> RECEIPT <br /> D �• Opik <br /> ru <br /> Ln •, <br /> OCerbtied Mail Fee <br /> Er $ <br /> rU Extra services&Fees(check box,addlee as appropr4m) <br /> Return Receipt(hardeopy) $ <br /> M ❑Return Receipt(electronic) $ Postmark <br /> 0 ❑Certified Matt Restnotud Delivery $ Here <br /> O ❑Adult Signature Required $ <br /> M Ej Adult Signature Restricted Delivery$ <br /> C3 Postage <br /> r_q $ 2 <br /> rti Total Postage and Fees <br /> rl-I $ <br /> .A Sent To <br /> O <br /> Streei and ApC.No.,or PD boz No. <br /> M1 Ciry State,ZIP+4� <br /> ------------------------------------------------------ <br /> :rr i rr rrr• - - <br /> Certified Mail service provides the following benefits: <br /> ■A receipt(this portion of the Certified Mail labeq. for an electronic return receipt,see a retail <br /> ■A unique identifier for your mailpiece. associate for assistance.To receive a duplicate <br /> ■Electronic verification of deli v or attempted return receipt for no additional fee,present this <br /> delivery. c, ,;�-- USPS®-postmarked Certified Mad receipt to the <br /> ■A record gt+fCl di retail associate. <br /> signalkife)that rretaine b Pos i u ed delivery service,which provides <br /> for specifie nod ery�tp the addressee specified by name,or <br /> (��} M1�1 i AWig, e addressee's authorized agent <br /> IMP antR A'E - Iqn 'service,whichregwresthe <br /> ■You m urchase Certified Mail service with signee to be 0least 21 years of age(not <br /> Rrst-Class d®,First-Class Package Service®, available atretaiq. <br /> or Priority Mad __pdulf signature restricted delivery service,which <br /> ■Certified Mad service is notavallabTe for` requires the signee to be at least 21 years of age <br /> international mad. and provides delivery to the addressee specified <br /> ■Insurance coverage Is notavailable for purchase by name,or to the addressee's authorized agent <br /> with Certified Mail service.However,the purchase (not available at retail). <br /> of Certified Mail service does not change the ■To ensure that your Certified Mail 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 /> ■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 Cerhfied Mail receipt,detach the barcoded portion <br /> of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply <br /> You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece. <br /> e!lectrcomponlsyg� Fpc$J4� y return rec�l t,ROOM 215,Denver,CO 80203 <br /> complet�9��k�39�I�1 e6l�b <br /> Receipt;attach PS Form 3811 to your mailpiece; IMPORFANE Save this receipt for your mounds. <br /> Ps Fonn 3800,Aphi 2015(Reverse)PSN 7530-02-000-9047 <br />