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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> s Complete items 1,2,and 3. A. Signatur <br /> ■ Print your name and address on the reverse X d 0 Agent <br /> so that we can return the card to you. ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, 8, Received by(Printed Name) C. Date of D livery <br /> or on the front if space permits. I,' <br /> 1. 7 D. 18%=U item 1? Yes <br /> I <br /> Mr. Jason Lockard a elow: [3No <br /> Washington County DEC 2 7 201:; <br /> 501 E 4th Ave DM"of WVWnOH <br /> Otis, CO 80743 <br /> II�' I III 'I I I I II I I I I III I IIII�II II I III 3. Service Type ❑Priority Mail Express® <br /> ElAdultAdult Signature ❑Registered MajlTM <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> 9590 9402 3770 8032 0589 60 ❑Certified Mail(D Delivery <br /> ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> n A, ii to no-mhor?ransfar from service label) ❑Collect on Restricted Delivery Delivery Restricted Delivery ©Signature ConfirmationTm <br /> 7 018 2290 0001 8923 6279 iil El Signature Confirmation <br /> 0Restricted Delivery <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />