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Postal <br /> CERTIFIED MAIL' RECEIPT <br /> p Domestic <br /> Ir <br /> Fm <br /> m KES�tC Call�4 <br /> s: <br /> p Certified Mail Fees i r 126� <br /> ..rt) r ti�80 �b/A/ 41 <br /> Extra Services&Fees(check box,add <br /> fee F�. ato) <br /> j¢— <br /> p ❑Return Receipt(hardcop� <br /> p ❑Return Receipt(electronic) $ I .1 Ili 7 Postm <br /> p ❑❑certified mail Restricted Delvery $ �3�r iitiit: % Here <br /> p Adult Signature Required $ F� - <br /> Adult Signature Re�fficted Delivery$ <br /> p <br /> C3 Postage $ i+55 y <br /> tti $ �Aev 2,L 19 <br /> p Total Postage and FigL�s 0.rV -- <br /> i�L. -.t <br /> Er $ <br /> Sento`t <br /> $tree and Apt qb.,or b l3ox o. <br /> (.... ........................................ <br /> CL-) <br /> SENDER: . <br /> ■ Complete items 1,2,and 3. A. Signature <br /> ■ Print your name and address on the reverse X ❑Agent <br /> so that we can return the card to you. ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, B. RdWiv4 anted Name) C. Date of Delivery <br /> or on the front if space permits. <br /> 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes <br /> If YES,enter delivery address below: ❑ No <br /> PV Lone Tree <br /> Po Box 316 <br /> Keenesburg, CO 80643 <br /> II i III II IIII III I II I III I IIII I IIII III I II I►I 3. Service Type El Priority Mail Express® <br /> ❑Adultdull Signature ❑Registered MaiITM <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> ❑Certified Mail® Delivery <br /> 9590 9402 1436 5329 2335 86 ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Articlra No rm—,rr------- 0ollect on Delivery Restricted Delivery 0 Signature ConfirmationTM <br /> ?019 0?0 0 0 0 0 0 ?6 0 8 3 9 0? nsured Mail ❑Signature Confirmation <br /> nsured Mail Restricted Delivery Restricted Delivery <br /> u(over$500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />