Laserfiche WebLink
SECTIONSENDER: COMPLETE THIS SECTION COMPLETE THIS <br /> ov <br /> . . <br /> ■ Complete items 1,2,and 3. A. Signature <br /> ■ Print your name and address on the reverse X ❑Agent <br /> so that we can return the card to you. �('� ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, B.,.RKely d by(Printed Name) C. Date of Delivery <br /> or on the front if space permits. <br /> 1 D. Is I r(�as dress_-different from item 1? ❑Yes <br /> ❑Ifelow: No <br /> Ms. Pamela Jensen F <br /> Phillips County DEC 2 7 2019 <br /> 221 S. Interocean Ave. <br /> Holyoke, CO 80734 1OF LAM+A�M <br /> I I I I I III III( I I I I II I I III"II III 3. Service ype ❑priority Mail Express <br /> ❑Adult Signature ❑Registered MailTM <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> 9590 9402 3770 8032 0589 77 ❑Certified MailO Delivery <br /> ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> n.+i�lo hh imhor!Transfer from service label) ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationTM <br /> all Delivery <br /> Signature Confirmation <br /> 7 018 2290 0001 8923 6 2 6 2 <br /> flail Restricted Delive Restricted Delivery <br /> 10) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />