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SECTIONSENDER: C01,1PLETE THIS .MPLETE THIS SECTION ON DELIVERY <br /> ■ Complete itei s 1,2,and 3. A. Si ature <br /> X ❑Agent <br /> ■ Print your name and address on the reverse tub El Address <br /> so that we can return the card to you. <br /> ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. Date of Delivery <br /> or on the front if space permits. ,) <br /> D. Is delivery address i��� 14 �� <br /> If YES,erdarrve <br /> Marcy Brossman <br /> Cheyenne County AU,�A> 9 2019 <br /> 51 S 1 st Street PO Box 567 'P r�l� lD� <br /> Cheyenne Wells CO 80810 ,� � DMSION 0 i?E LR1ti�4TfON <br /> y 9 MI <br /> I I I I' III II I I I I I I I I I ' I I I I I I I 3. Service Type ❑Priority Mail Express <br /> 0 Adult Signature ❑Registered MaiIT'" <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> 9 Certified Mails Delivery <br /> 9590 9402 2543 6306 1186 49 <br /> ❑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 ❑Signature Confirmation— <br /> Mail El Signature Confirmation <br /> 7 017 2400 0000 9205 5932 1 Mail Restricted Delivery Restricted Delivery <br /> 500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />