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1r <br /> SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> • Complete items 1,2,and 3. A. Signature <br /> • Print your name and address on the reverse X • ' , -7) 0 Agent <br /> so that we can return the card to you. ❑Addressee <br /> • Attach this card to the back of the mailpiece, B. Rgeeiu@d by e) ----.C.1 Date of Delivery <br /> or on the front if space permits. ,, / '01—iiii.)—I`.' <br /> D. Is eliv address different fr. item 1? 0 Yes <br /> If YES, •] • 0 No <br /> • <br /> Tim Iverson �! <br /> 5011 West F Street ON TO 20 J <br /> Greeley, CO 80631 DIVISION OF REcLAMATI <br /> 3. Service Typ 'ii'il'e t 111 -11 u •riority Mail Express® <br /> 11111 III 1111 11 <br /> I I III I 1111 0 Adult Signature 0 Registered Mail'," <br /> 0 Adult Signature Restricted Delivery 0 Registered Mail Restricted <br /> 0 Certified Mail® Delivery <br /> 9590 9402 3488 7275 7544 64 0 Certified Mail Restricted Delivery 0 Return Receipt for <br /> 0 Collect on Delivery Merchandise <br /> 0 Collect on Delivery Restricted Delivery 0 Signature Confirmation," <br /> Aail 0 Signature Confirmation <br /> 7 018 2290 0001 8923 5661 Aail Restricted Delivery Restricted Delivery <br /> i ,V.,J0) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />