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�I1 V <br /> ■ Complete items 1,2,and 3. ASENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> Signature -P <br /> ❑Agent � -P. <br /> ■ Print your name and address on the reverse X ❑Addressee x <br /> so that we can return the card to you. j o <br /> B. Received by(Printed Name) C. Date of Delivery ;1 <br /> or on the front if space permits. �:j Tt <br /> 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes <br /> If YES,enter delivery address below: ❑ No O i <br /> PACE CHARLENE L 00 <br /> 424 32 RD UNIT 380 00 <br /> CLIFTON, CO 81520 �n <br /> k <br /> 3. Service Type ❑Priority Mail Expresso O <br /> II I IIIIII I'll III I ll IIII I II i I III l II II II I II II III ❑Adult Signature El Registered Mail❑A Restricted <br /> Signature Restricted Delivery ❑Registered Mail Restricted <br /> Certified Mail@ Delivery <br /> 9590 9402 4715 8344 2084 800 Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmatlonTM <br /> 2, Article Number(Transfer from service label) _. 1 ❑Signature Confirmation <br /> 7 019 1640 0001 9352 9 919 i Restricted Delivery Restricted Delivery <br /> Ps Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br /> E3 <br /> ..n <br /> Er <br /> f X <br /> twl .ram <br /> p <br /> , O <br /> ;. <br /> Eyt r N D <br /> m <br /> 0 <br /> 00 <br /> f'1 to W m <br /> r 1 ; NO DO <br /> o _n <br /> r� 0 ist rtr <br /> �p ;t; 2 <br /> 1rn <br /> Oft <br /> Oft I y <br /> Fa 61t I ^Im <br /> C, a° <br /> 1 7�t LSt C� a 3 <br /> Cd vi <br /> i7t <br /> Dr =-= <br /> I <br /> N DrnwOTC <br /> W <br /> t� ,-O <br /> Oi\� (c, ZZD <br /> GO <br /> yr�� ~ rn <br /> O D <br /> Z _ <br /> O <br /> O <br />