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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> • Complete items 1,2,and 3.Also complete A. Si.natu e <br /> Item 4 if Restricted Delivery is desired. 0 Agent <br /> • Print your name and address on the reverse X �_ ��� �, :• Addressee <br /> so that we can return the card to you. B. R- eiv nted Name) C. Date of Delivery <br /> • Attach this card to the back of the mailpiece, f ` I <br /> or on the front if space permits. <br /> D. Is delivery addre different from item 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below,- <br /> - <br /> -- <br /> 11.11.1.1111.111.1.11.1.1111.111 <br /> Brady Stagner <br /> 15004 County Road 20 3. Serve pe <br /> Mortified Mail ❑Express Mail <br /> Sanford, CO 81151 o Registered 0 Return Receipt for Merchandise <br /> 0 Insured Mail 0 C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> z. (Transfer <br /> nsferle umber 7011 3500 0002 9605 9721 <br /> (Transfer from service labe <br /> PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 <br />