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SECTIONSENDER: COMPLETE THIS <br /> ■ Complete items 1,2,and 3. A.X�;q� <br /> ■ Print your name and address on the reverse X El Agent <br /> so that we can return the card to you. ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, B. Re eive y(Printed Name C. Date of Delivery <br /> or on the front if space permits. 01 A FINS mtprf I l'13-1 c( <br /> 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes <br /> � R� <br /> If YES,enter.Qlivery addcress below: ❑4No <br /> Treat <br /> r <br /> Mr. James L �i <br /> 225 G St JU N 18 <br /> Salida, CO 81201 <br /> I I III II III II I II I I I III I I I I I I I I rTL <br /> ❑dul3. tt S Sign at ���'d�vice Ty -C .��r t ed;�M*H Restricted <br /> ted <br /> ❑Adult Signature Restricted Deliv JL�" <br /> ❑Certified Mail(D Delmery <br /> 9590 9402 2543 6306 1182 81 ❑Certified.Mail Restri Wd tWivery ❑Return Receipt for <br /> ❑Collect oh'beliVdry Merchandise <br /> 7 Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery ❑Signature Confirmation— <br /> ❑Insured Mail El Signature Confirmation <br /> 7 016 214 0 ,P 0 0 0 ' �3 4,5 6.10 6 ❑i(nsuredover$500)Mail Restricted Delivery Restricted Delivery <br /> _ <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return.Receipt <br />