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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 X4 WAgent <br /> so that we can return t c t you. — // &e( f ❑Addressee <br /> ■ Attach this card to the EAVAMED B. Received by(Printed Name) C. Date of Delivery <br /> or on the front if space permits. i l <br /> 1. Article Addressed to: r1 D. Is delivery address different from item I? Yes <br /> 0 2 8 If YES,enter delivery address below:,h❑ No <br /> -Mr. L. Otto (A YP ox 165lNGANDSAFET 2-1L a CO 81055 <br /> IIIIII III II I II III(( III I I II I I I I III 3. Service Type ❑Priority Mail Express <br /> 13 ® <br /> ❑Adult Signature ❑Registered MallTM <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> Certified Maild)9590 9402 3488 7275 7526 06 ❑Certified Mail Restricted Delivery ❑Reeltu Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery O Signature ConfirmationTM <br /> ❑Insured Mail ❑Signature Confirmation <br /> 7 016 2 710 0000 2904 6236 ❑Insurd Mail Restricted Delivery Restricted Delivery <br /> (over$500 <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />