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Postal Service"
<br /> COMPLETE THIS SECTIONON
<br /> COMPLETE •
<br /> CERTIFIED MAILO RECEIPT
<br /> ■ Cmplete items 1,2,and 3. A Signature
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<br /> ❑Agent�
<br /> ■ Print your name and address on the reverse x",�, ,lv�
<br /> m r%- : For delivery information. • so that we can return the card to you. C r ^u Addressee
<br /> '✓ �(t t°I1r26 ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) G. Date of Delivery
<br /> rya Certified Maii Fro }—} = )-- "" -- — ,_ or on the front if space permits. r It "L Ek t t
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<br /> Er, $ o c — — — D. Is delivery address different f iomttem t 7 ❑Yes
<br /> m Extra Serviom ees(check box.add Mey - CONNELL, RICHARD If YES,enter delivery address below: pNo
<br /> ❑R.tum Reoebt tiwrdcaPvD f 3>l. ! _
<br /> r-3 ❑Return RecelM(.Ilctrwic) f t+i_lifl r`t r 5925 PALnnER CT
<br /> C3 ❑Cenifixid Mail Restricted Delirery ,.....
<br /> C3 []Adultsi9natumRegwred f ___ FORT COLLiNS, CO 80528
<br /> ❑Adull 9191uture R.sYkOed D.•wy f
<br /> C3 Postage r►g $1-1.55
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<br /> rr-q-i Posts"and�}•a F �, _.
<br /> = t t 1 3. Service Type ❑Priority Mail ExpressO
<br /> Cl Adult Signature ❑Registered MailTTM
<br /> co Sent To 1.VNNCLL,NILMAKU f ! J ❑Adult Signature Restricted Delivery L Registered Mail Restricted
<br /> Q Certified Mail® Delivery
<br /> 5925 PALMER CT -- ------------,.---, 9rjQO 94OZ 4403 8Z48 81$3 18 pCertfiedMallRestrctedDelvery ❑Return Receipt for
<br /> C7 StreetandApl FORT COLLINS,CO 80528
<br /> ❑Collect on Delivery
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<br /> S'tafefl
<br /> n r I—�...,nI ❑Signature Confirmation
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<br /> i 7 018 1130 0001 3 916 37 18 Restricted Delivery Restricted Delivery
<br /> 1 over§Mann _
<br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt
<br /> SENDER:1 U.S. Postal Service"` • SECTION • • •
<br /> CERTIFIED MAV RECEIPT
<br /> •. • ■ Complete items 1,2,and 3. A Sigr>atura
<br /> .�fl ■ Print your name and address on the reverse X ❑Agent
<br /> iT1 �F J ;T �L,�f �a CO
<br /> so that we can return the card to you. ❑Addressee
<br /> B. dived by(Pdn Name} C Date of Delivery
<br /> ■ Attach this card to the back of the mailpiece, / }
<br /> � Certified Mail Fee 3.�I,1 - -- or on the front if space permits. , rL Z wo 11' o7 / f
<br /> 5 i a r; to a +.o��e++ . D. Is slivery address different from item 1? ❑Yes
<br /> rT1 I Extra Services 8 ees(cbeckbaK add rer 4, _f1"to) CITY OF FORT COLLINS If YES,enter delivery address below: ❑No
<br /> ❑Reum t ReodPt ftMODPy) f _
<br /> r-1 ❑Return RwaWl(area nk) f $I-I_Off Postmark1:3 .
<br /> o 0carwedp P itrictsdD•Awy f _ *1 Here PO BOX 580
<br /> p 0—srwor—RtaruMed COLLINS,ltu nsaorm.•Raral. do.lr..y ,_
<br /> : FORT CO 80522-0580
<br /> O Postage
<br /> m S $I_I C5
<br /> r-9 TOW Poste"and • s 11.1--2 7/2LI.1^
<br /> CC) Seat To Li I Y UY tVKI L�ULLINJ'Uc II I III�I I'i)III I II III I IIIII Il II I�)I II (�III ❑Adult Signature e Priority L]Adult Signature G Registered Mail
<br /> Restricted Delivery ❑Registered Mail Restricted
<br /> O Sheet arrd/lpf 1 PO BOX 580 ---- El Certified Man Deirvery
<br /> FORT COLLINS.CO 80522-0580 9590 9402 4403 824$$1$3 63 ❑Certifiod Mail Restricted Delivery l7 Returnpt for
<br /> O Collect on Delivery
<br /> Clty,$rate,ZIP+ -"'"--"`-"-"-"-"-- yry �y ❑SignatureConfirmationTM
<br /> / A..:..1.-♦I......L..,.T....s,.r.....,...,.,,r..e r�r,..,n ❑Collect on Deliv Restricted Delivery
<br /> ..._.......•,.___._....._ :at 0 Signature Confirmation
<br /> PS Form 3800,April 2015 PSN 75304j2-0,M4K97 See Reverse for Instructions 7 018 1130 0001 3 916 3664 _ ail Restricted Delivery Restricted Delivery
<br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt
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