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IS SECTION ON DELIVERY <br /> SENDER: COMPLETE THIS SECTiON COMPLETE TH <br /> ■ Complete items 1,2,and 3. A Signa r <br /> ■ Print your name and address on the reverse X J ❑Agent <br /> ❑Addressee <br /> so that we can return the card to you. <br /> ■ Attach this card to the back of the mailpiece, B• �i e by,{Print!ffe;rnt <br /> e) C. Date of Delivery <br /> or on the front if space permits. I 1. Article Addressed to: D. Is delivery address from item 1? ❑Yes <br /> If YES,enter delivery address below: ❑No <br /> Melvin D Fry Jr. <br /> 1350 S. Rolling Hills Rd. <br /> Garden City, KS 67846 <br /> 3. Service Type ❑Priority Mail Express@ <br /> IIIII' I�I �IIIII I�I�tIIII�IIIIIIIIII gnature El Registered T <br /> ❑Adult Sgnature Restricted Delivery ❑RegtgteredMalRestricted <br /> Certified MaIICw �DeI very <br /> 9590 9402 1644 6053 5431 46 Certified Mail Restricted Delivery ?3 Return Receipt for <br /> ❑Collect on Delivery �+lerchandise <br /> ❑Collect on Delivery Restricted Delivery. Signature ConfirmationTM <br /> 2. Article Number(Transfer from service label) — nsured Mal ❑signature Confirmation <br /> 13 1090 0002 0962 <br /> 11 nsured Mail Restricted Delivery Restricted Delivery <br /> aver$500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br /> USPS TRACKING# <br /> First-Class Mail <br /> Postage&Fees Paid <br /> USPS <br /> Permit No.G-10 <br /> 9590 9402 1644 6053 5431 46 <br /> United States • Sender: Please print you ame, dress,and ZIP+4 i • <br /> Postal Service <br /> r�. <br /> Marcy Brossman cep <br /> Cheyenne County Admi ' trat �9 <br /> P.O. Box 567 l <br /> Cheyenne Wells, CO 80810 <br />