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COMPLETE •N COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3. A Signature <br /> ❑Agent <br /> ■ Print your name and address on the reverse X ❑Addressee x <br /> so that we can return the card to you. <br /> B. Received by(Printed Name) C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, No <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 /> GARDNER RAYNE C O m <br /> PO BOX 41135 00 <br /> GRAND JUNCTION, CO 81504 N �' <br /> O O > <br /> Q1 *k Z <br /> �• L <br /> III I II II I I I I I III II I III I II I I III 3. Service Type ❑priority Mail ailTM s® O N <br /> II I IIIIII III ❑Adult Signature ❑Registered MailTR <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> Certified Mail® Delivery <br /> 9590 9402 4715 8344 2088 00 ❑ ertified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationTM <br /> 2. Article Number(Transfer from service label) —,__ ❑Signature Confirmation <br /> 7 019 1640 0001 9352 9759 Restricted Delivery Restricted Delivery <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt . <br /> 7 <br /> t-3 <br /> L+ <br /> m a <br /> n <br /> > OD <br /> H --a . z WO 0 W <br /> :. o x z <br /> m Ln <br /> RJ w <br /> H CrM <br /> > -i <br /> va �. 7n Z m <br /> m>Z Cl <br /> r <br /> m 00 <br /> M urT 0 CD <br /> 0m ' <br /> o <br /> 71 Z p <br /> !E>O p <br /> h, Darn <br /> �V N 0 <br /> LA <br /> C. M m <br /> •� i <br /> LIT <br /> i <br /> 7C1 DIAm_,{��IC <br /> ro 0mrn�N <br /> I w 0-9pD'S- <br /> i p <br /> U. <br /> `G>N <br /> m CZD <br /> cmi�O z D <br /> (1 0 <br />