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SENDER: COMPLETE THIS SECTION SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. - ( ❑Agent <br /> X, <br /> ■ Print your name and address on the reverse ❑Addressee <br /> so that we can return the Card to,you. B. Received b (Punted Name) / C. Date of Delivery <br /> ■ Attach this card to the balk of the mailpiece, <br /> or on the front if space permits. <br /> D. Is delivery address different from item 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter deliv� w: ❑ No <br /> Schmidt Site <br /> Dale and Ellen Schmid MAR 04 201 <br /> 472 Veadows Dr. 3. Service%WWO)vo <br /> Pagosa Springs, CO 81 7 Certified �0Kn��� <br /> ❑Registered �q1 t for�erchandise <br /> - 3` ❑ Insured Mail ❑Collect on D iivery <br />�4. Restricted Delivery?(Extra Fee) ❑Yes <br /> Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7014 2120 0001 7869 9333 <br /> (Transfer from service label) <br /> PS Form 3811,July 2013 Domestic Return Receipt <br />