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SECTIONSENDER: COMPLETE THIS SECTION COMPLETE THIS ON DELIVERY <br /> ■ Complete items 1,2,and 3. A. SiSi at <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. D e of elivery <br /> or on the front if space permits. V v/ /n 16 n �C'-' <br /> Iddress different from item 1? ❑ es <br /> Bucklen Services Company, Inc <br /> lteg1 r Gdow: ❑ No <br /> Daniel Clark V 4zC1 6V <br /> 804 North 25th Avenue j 18 2019 <br /> Greeley, CO 80631 <br /> DIv <br /> II III ')I I I I I I III I I II I I I III E3.l Service Signature NG&SAFETI°Priority Mail express® <br /> O Adult Signature ❑Registered MaiITM <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> 9590 9402 3488 7275 7533 99 o Certifi d Mail Restricted Delivery [IRetlu n Delvery Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 9 nrrinlo Ni imhar frransfer from aeniice label) ❑Collect on Delivery Restricted Delivery ElSignature ConfirmationTM <br /> 17 24 0 9 7,19 4 9 3 9 ed Mail Signature Confirmation <br /> ed Mail Restricted Delivery Restricted Delivery <br /> $500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />