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SECTIONSENDER: COMPLETE THIS •MPLETE THIS SECTION ON <br /> ■ Complete items t*,2,and 3.Also complete A. Signature <br /> item 4 if Restriddgi Delivery is desired. ❑Agent <br /> ■ Print your name and address on the reverse X ❑Addressee <br /> so that we can return the card to you. B. Received by-(Printed Name) C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front if space permits. 8 v-S S e- - <br /> 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes <br /> If YES,enter delivery address below: ❑No <br /> RECEIVED <br /> Brian Busse JUL <br /> 14'37 G St. 3. Servi <br /> . alida, CO 81201 ❑Certife Mess" <br /> - Uobld <br /> te <br /> egis eipt for Merchandise <br /> ❑ Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7014 2120 0001 7869 8183 <br /> (transfer from service label) <br /> PS Form 3811,July 2013 Domestic Return Receipt <br />