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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3. A. Sign a �[ <br /> ■ Print your name and address orrthe reverse X Agent <br /> so that we can return the card to you. 4 ��"q❑Addressee <br /> ■ Attach this card to the back of the mailpiece, B. Received y(Printed me) ate of Delivery <br /> or on the front if space permits. <br /> 1• — — ass different from item ? ❑Yes <br /> ;livery address bel ❑No <br /> David L. Harvey <br /> CBRG GGG``4 <br /> P.O. Box 516v ���0�0 `� <br /> Hatsel, CO 80449 m <br /> II I IIIIII III)III I II II II I I III I I�I I I I II I I El A3. du <br /> lt <br /> n I®ice eRestncted D Delivery Mail Rr a tricted <br /> ❑Adult Signature A� QA ;Wistrd <br /> MailT^' <br /> 9590 9402 2543 6306 1147 26 ❑Certified Mail Restricted B.IivetN�o Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery 0 Signature ConfirmationTM <br /> - Mad ❑Signature Confirmation <br /> 7 017 2400 0000 9119 2362 ooail Restricted Delivery Restricted Delivery <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />