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COMPLETE •N COMPLETE THIS SECTIONON DELIVERY <br /> e Complete items 1,2,and 3. A. Signature, <br /> ❑ <br /> r Print your name and address on the reverse X Agent <br /> so that we can return the card to you. i ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, B. Receivedby(P� Dat of Delivery <br /> or on the front if space permits. .5 -- 1 `1 <br /> 1. Article Addressed to: D. Is delivery address differentefn item 1? Yes <br /> If YES,enter d pile, <br /> �� ®�r � [I No <br /> Randy Ross DIVISION OF P"CLAMATION <br /> 434 Private Road 3591 MININGANu S wuy <br /> Piedmont, MO 63957 <br /> I I II' I'I �I I I II I I I III 'I I'I I I III 3. Service Type El Priority Mail Express® <br /> ❑❑Adult Signature Registered MaiITM <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> Certified Mail@ Delivery <br /> 9590 9402 3488 7275 7577 93 ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery 0 Signature Confirmation"' <br /> ❑Insured Mail El Signature Confirmation <br /> 7 0 16 2710 0000 2965 2390 El red Mail Restricted Delivery Restricted Delivery <br /> (over$500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />