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Cecil C Powell <br /> y PO Box 23 1 <br /> Dinosaur CO 81610-0023 S. G <br /> l Fp. . P SENV E PAID <br /> gR N- LY, CO <br /> UMIIfO ST4TES MO g <br /> IOSTAI SERVICE¢ <br /> 7018 0680 0000 3760 1988 l000 �7'45 <br /> R2 80203 305M147767-02 <br /> ( <br /> � , 1 <br /> COMPLETE • • DELIVERY <br /> • • THIS <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. Received by(Printed 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 /> P 1 Y i S t C,Al o /`'j�tG i iJ7 If YES,enter delivery address below: ❑No <br /> 3. <br /> II I I III ')I I I I I II III I II I I I I I I Service Type ❑Priority Mail Express 11 o <br /> ❑Adult Signature ❑Registered Ma11TM <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> 9590 9402 3684 7335 6922 33 Certified Mail® Delivery <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 0 Signature Confirmationw <br /> ❑Insured Mail El Signature Confirmation <br /> El insured Mail Restricted Delivery Restricted Delivery <br /> (over$500) <br /> PS Form 38.11_July 2015 psnl 7svn-ro-nnn-ansa Domestir.Rf+tl,lr o���—• <br />