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SECTIONSIENDER: COMPLETE THIS •MPLETE THIS SECTION ON DELIVERY <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 /> t Attach this Card to the back of the mailpiece, eoeived by(Printed Name) C. Date of Delivery <br /> or on the front if space permits. <br /> ddress different from item 17 E3 Yes <br /> Jack Clark, Jr. r delivery address below: ❑ No <br /> P.O. Box 767 <br /> Silverton, CO 81433 <br /> I��� •1JI 3. Service Type ❑Priority Mail Express® <br /> .mayWizU9 ❑Adult Signature ❑Registered Mail R <br /> ❑Adult <br /> ('eSignature Restricted Delivery El Registered Mail Restricted <br /> . +y t�Afed Mai D99,4 3.: "«� Retu Receipt for <br /> ..rl.?� I ❑ Mai <br /> ❑Collect on Delivery Merchandise <br /> 2. A IC ro iC #eQ .+" ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationTM <br /> ,,. m.^, fvw„� 1 r .r. a,..r t } ter Confirmation <br /> s.• fi rlbt�d'13�H4 .:. r *i livery <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />