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COMPLETE •N COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3. A. Signatu e, <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. Receiv y(Printed Name) Cs,Late f eliv <br /> or on the front if space permits. C <br /> 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes <br /> If YES,enter delivery address below: ❑No <br /> LEYBA JACKI LIE J <br /> 3284 1/2 D 1/2 RD <br /> GRAND JUNCTION, CO 81503 <br /> II I IIIIII IIII III I II IIII I II I I III I II I II I II I III 3, Service Type ❑Priority Mail Express® <br /> ❑Adult Signature ❑Registered MaiITM <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> Certified Mail® Delivery <br /> 9590 9402 4715 8344 2085 72 ❑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 Confirmationn' <br /> Mail ❑Signature Confirmation <br /> 7 019 1640 0001 9352 9841 Mall Restricted Delivery Restricted Delivery <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br /> COMPLETE • <br /> ■ Complete items 1,2,and 3. nature <br /> ■ Print your name and address on the reverse I--]Agent <br /> 10so that we can return the card to you. �,r ..� '❑Addressee <br /> ■ Attach this card to the back of the mailpiece, XFReceivo iy"WAFde) C. Date of Delivery <br /> or on the front if space permits. °` <br /> 1. Article Addressed to: D. Is delivery address different from item 11 ❑Yes <br /> If YES,enter delivery address below: ❑No <br /> LESZKO GERALD J <br /> 424 32 RD TRLR 360 <br /> CLIFTON, CO 81520 <br /> 3.II I IIIIII IIII IIII II IIII I II I I III I II I II II IIII III Service Type El Priority Mail Express@ <br /> 11 <br /> ❑Adult Signature ❑Registered MailiITMTM <br /> ❑ dult Signature Restricted Delivery El Registered Mall Restricted <br /> ertified Mail® Delivery <br /> 9590 9402 4715 8344 2085 65 Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number!Transfer from service labep ❑Colleot on Delivery Restricted Delivery ❑Signature ConfirmatlonTM <br /> -ail ❑Signature Confirmation <br /> 7 019 1640 0001 9352 9834 �all Restricted Delivery Restricted Delivery <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br /> r-e <br />