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COMPLETE •N COMFLETE THIS SECTIONON DELIVERY <br /> ■ Complete items 1,2,and 3. A. Si nature <br /> ■ Print your name and address on the reverse ErAgent <br /> so that we can return the card to you. <br /> L ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, 8• ceivpped rinted Name) C. Date of Delivery <br /> or on the front if space permits. t 117ii7�!cht. /r� l c,j <br /> 1. Article Addressed to: D. Is delive different from item 1? ❑Yes <br /> If YES,a I f,, ►pelow: ❑No <br /> Gail and Charles Zimmerman �s•� <br /> 19002 County Road CC.5 JAN 2�ig <br /> Rocky Ford,CO 81067 <br /> /� 7�� D►47StON OF RECI <br /> 3. Service SAFETY ❑Priority Mail Express® <br /> ❑Adult Signature ❑Registered Mail— <br /> Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> 9590 9402 3488 7275 7582 26 Certified Mail® Delivery <br /> Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number(Transfer from service label) ❑C0tct on Delivery Restricted Delivery 0 Signature ConfirmationT <br /> ❑Insured Mail 0 Signature Confirmation <br /> 7 17 2400 0000 9119 4 717 Insured Mail Restricted Delivery Restricted Delivery <br /> (over$500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />