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COMPLETE •N COMPLETE THIS SECTIONON DELIVERY <br /> ■ Complete items 1,2,and 3. A. Signature <br /> ■ Print your name and address on the reverse k — ❑Agent <br /> so that we can return the card to you. Addressee <br /> ■ Attach this card to the back of the mailpiece, . Received by(Printed Name) ate of Delivery <br /> or on the front if space permits. <br /> 1. Ar s I e^'�ea a.o^�o t^' D. Is delivery addres _ I Yes <br /> If YES,enter delivery address below: No <br /> William K. Havengar DEC <br /> Lazy H, Inc. <br /> 34449 County Road 10 1101V <br /> Keenesburg, CO 80643 <br /> I (�I I I�I 'I I I III II IIIIIII III I (III 3. Service Type ❑Priority Mail Expresso <br /> ❑Adult Signature ❑Registered MaiITM <br /> Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> Certified Mail® Delivery <br /> 9590 9402 4401 8248 9104 27 ❑Certified Mail Restricted Delivery . ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number(fransfer from service label) ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationTM <br /> ❑Insured Mail ❑Signature Confirmation <br /> $500ji1 Restricted Delivery Restricted Delivery <br /> 7 018 2290 0001 8923 1663 <br /> Ps Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />