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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 orrthe reverse j� � Agent <br /> so that we can return the card to you. X �v"'� / Addressee <br /> ■ Attach this card to the back of the mailpiece, B. Received WD�of Po iv <br /> or on the front if space permits. <br /> 1. Article Addressed to: D. Is deliv ry d iffee�ree f p�1? ❑Yes <br /> MMOPI If YES,enter lo�y 4C: ❑No <br /> Mr. Larry Laughrey _ VMMOFRECWA ATION <br /> Estate of Frank Laughrey WWAW SAFETY <br /> P O Box 153 <br /> Forbestown, CA 95941-0153 <br /> II I'III III II I II I I I I III I III III ❑Adult Signatuice re ❑RegsteredilMapess® <br /> ❑Adult Signature Restricted Delivery ❑Registered Mad Restricted <br /> 9590 9402 2543 6306 1187 86 o Certified <br /> Certified Mail Restricted Delivery ❑Delivery <br /> etu Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationTm <br /> ❑Insured Mail ❑Signature Confirmation <br /> 70162710 0 0 2965 12491❑Insured Mail Restricted Delivery Restricted Delivery <br /> (over$500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />