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SENDER: COMPLETE THIS SECTION THIS SECTION ON DELIVERY <br /> ■ 'Complete items 1,2,and 3. r <br /> Sign ture <br /> ■ Print your name and address on the reverse , [3 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. b of <br /> 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes <br /> If YES,enter delivery address below: ❑No <br /> Mr. Thomas Zimmerman <br /> 45781 W. US Highway 50 <br /> Canon City, CO 81212 <br /> ll I III II I'll III I l I I( I II I I I III I I I I I III 3. Service Type ❑Priority Mail Express® <br /> ❑Adult Signature ❑Registered Mail— <br /> El <br /> �•Adult Signature Restricted Delivery El Registered Mail Restrctec <br /> eCertified Mail® Delivery <br /> 9590 9402 3488 7275 7558 05 ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery ❑Signature Confirmation*'" <br /> ❑Insured Mail ❑Signature Confirmation <br /> 7 016 2 710 0000 2904 6274 ❑Insured Mail Restricted Delivery Restricted Delivery <br /> (over$500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />