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SECTIONSENDER: COMPLETE THIS SECTION COMPLETE THIS ON DELIVERY <br /> ■ Complete items 1,2,and 3. A. Signature <br /> '�i <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• ++ ceived, y(Printed Name) C. Da of De ver. <br /> or on the front if space permits. ! I -ft ( � <br /> 1. Article Addressed to: D. Is deliv �t/F��eI�1? ❑Yes <br /> _ If YES, e tym: ❑ No <br /> Mike / 7C� <br /> Phillips County OC 0 4 P <br /> •J <br /> 221 S. Interocean Ave. OfO"OFREC ON <br /> Holyoke, CO 80734 MINING AN AEETTg <br /> I I I I I I�I II I II I II I I I ( I III I I I I I 3. Service Type ❑Priority Mail Express® <br /> O Adult Signature ❑Registered MaiIT"' <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> :�L Certlfied Mai10 Delivery <br /> 9590 9402 2543 6306 1199 29 ❑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 El Signature Confirmation"+ <br /> ❑Insured Mail ❑Signature Confirmation <br /> 7 018 2290 0001 8923 2875 El Insured Mail Restricted Delivery Restricted Delivery <br /> (over$500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />