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- - I <br /> I Complete items 1,2,and 3. A. Signature <br /> I Print your name and address on the reverse X ❑Agent y . <br /> so that we can return the card to you. ❑Addressee x <br /> B. Received by(Printed Name) C. Date of Delivery <br /> I Attach this card to the back of the mailpiece, o <br /> or on the front if space permits. �J N <br /> Article Addressed to: D. Is delivery address different from item 1? ❑Yes O 11 <br /> If YES,enter delivery address below: 0 No T <br /> N <br /> PELLETIER DANIEL A o i <br /> 424 32 RD UNIT 358 <br /> � . <br /> CLIFTON, CO 81520 <br /> 00 <br /> � �• � IlJ <br /> O D <br /> 3. Service Type ❑Priority Mail Express® Z <br /> (II'I�I'IIIIIIII(II III(IIIII�II�IIII'lIII(Ill ❑Adult Signature ❑Registered Mail t— <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted � u: <br /> 9590 9402 4715 8344 2088 79 {i[Certified Mai Certified <br /> Delivery <br /> a Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> Article Number(Trans/er/rOm service label) ❑Collect on Delivery Restricted Delivery ❑Signature Confirmation'm <br /> "flail ElSignature Confirmation <br /> 7 019 1640 0 0 01 9352 9 612 Aail Restricted Delivery Restricted Delivery <br /> 10) <br /> S Forlr 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Recelpt <br /> 0 <br /> Er- <br /> �s CD -- <br /> o <br /> C3 <br /> _ yyyy r w <br /> Ln <br /> 0�d t[1� �3 ru _ <br /> 4 7-1A — 0 <br /> Sat m � <br /> .j O N rU <br /> t1�d1b0ED z 'o Ir <br /> 'o <br /> ?:V s. 000 <br /> Lri z D <br /> ~' LUz <br /> tt3tj'r• Iv u'CD <br /> r— <br /> oo D O ^ °y <br /> -� o R 1 <br /> Ln <br /> N <br /> :0 Dtnm�Tr_ <br /> �'4 0�p <br /> Ln <br /> 1� <br /> ZZD <br /> _� or rn <br /> .t O 0 D <br /> Z - <br /> - v <br /> 0 <br /> 0 <br />