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SECTIONSENDER: COMPLETE THIS SECTION COMPLETE THIS ON DELIVERY <br /> ■ Complete items 1,2,and 3. A. Signature _. <br /> ■ Print your name and address on the reverse ' ' Agent <br /> so that we can return the card to you. X ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. Date of Delivery <br /> to <br /> or on the front if space permits. <br /> 1. D. Is delivery address different from item 1? ❑Yes <br /> If YES,enter delivery address below: ❑No <br /> Mike Bennett <br /> 39533 Co. Rd. 18 <br /> Holyoke, CO 80734 <br /> ( III III �)I I) I I I I I III III 3. Service Type ❑Priority Mail Expresso <br /> El <br /> ❑Adult Signature ❑Registered MaiIT"" <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> ❑Certified Mail® Delivery <br /> 9590 9402 2543 6306 1179 18 ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number((ransfer from service label) ❑Collect on Delivery Restricted Delivery 0 Signature ConfirmationTM <br /> Mail El Signature Confirmation <br /> 7 01,8 2290 0001 8923 6 3 4 7 vlail Restricted Delivery Restricted Delivery <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />