Laserfiche WebLink
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> VW <br /> Complete items 1,2,and 3. A. Sign ture <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. Rec ved by(Printed Name) C. Date of Delivery <br /> or on the front if space permits. A,.,._ a. <br /> 1. Article Addressed to: D. Is delivAiry address d' rent from item 1? ❑Yes <br /> If YES,enter delivery address below: ❑No <br /> I Mr. Lary Mondragon 1/�/� Q� r0 <br /> 9451 U.S. Hwy. 285 S. ` <br /> Atamosa, CO 81101 <br /> II I IIIIII IIII III( III I I III (III III I II I I I 3. Service Type ❑Priority Mad Express® <br /> ❑Adult Signature ❑Registered MaiIT^' <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> !$Certified Mail® Dehvery <br /> 9590 9402 3488 7275 7558 43 ❑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 D Signature Confirmation"' <br /> 7 016 2 710 0000 2904 6 4 5 E °Insred Mail D Signature Confirmation <br /> ❑Insuured Mail Restricted Delivery Restricted Delivery <br /> (over$500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />