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1r <br /> SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> • Complete items 1,2,and 3. A. Signature 9r <br /> • Print your name and address on the reverse X )` ElAgent <br /> so that we can return the card to you. , ElAddressee <br /> • Attach this card to the back of the mailpiece, B. Reeeivad by I- • -• -•4eJ"`----.C. Date ofllDelivery <br /> or on the front if space permits. 'a-Q()-)c) <br /> 1 9 <br /> D. Is deliv address•1= • fr. item 1? 0 Yes <br /> If YES,Rol , • ❑No <br /> Tim Iverson <br /> 5011 West F Streeti og o 290 <br /> Greeley, CO 80631 oFREcLAMA11 N <br /> on+�o� <br /> 3. Service Ty• t .1'19 -11 u •i ty Mail Express® <br /> II'I I III <br /> 'III II' III IIIIII II El Adult Signature 0 Registered <br /> Maim <br /> ❑Adult Signature Restricted Delivery 0 Registered Mail Restricted <br /> 0 Certified Mail® Delivery <br /> 9590 9402 3488 7275 7544 64 o Certified Mail Restricted Delivery 0 Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> o n..,,.ie Mt o.rtie.T ncfc,f,...,cmrldne.1.{,e11 0 Collect on Delivery Restricted Delivery o Signature Confirmation", <br /> Aail 0 Signature Confirmation <br /> 7 018 22'10 0001 8923 5661 Aail Restricted Delivery Restricted Delivery <br /> —.,-,.10) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />