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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> I Com'late items 1,2,and 3. A. Signature _ <br /> P 6Q Agent <br /> ■ Print your name and address on the reverse �J� / ^ <br /> so that we can return the card to you. X <br /> tile' <br /> / ' 0 Addressee <br /> ■ Attach this card to the back of the mailpiece, B. ",ceived by(Printed Nam: C. Date of Deliver; <br /> or on the front if space permits. j�� 1 0, c, ! 7; ;1. - !J <br /> a, , r e.- to pteMt' . ❑Yes <br /> Glenn Southwick :e •• • - =•dress below: ®No <br /> 13800 Silver Springs Rd ,. MAI 0 5 2° <br /> Jay Em, WY 82219 ,70N <br /> DIVIMOFREo�E{ <br /> N NG ANS <br /> I I'I II I'I II I II I I 'III 111111111111 3El. service Type 0 Priority Mail Express® <br /> Adult Signature 0 Registered MaiITM <br /> 0 Adult Signature Restricted Delivery 0 Registered Mail Restricted <br /> 0 Certified Mail® Delivery <br /> 9590 9402 5506 9249 0491 48 0 Certified Mail Restricted Delivery 0 Return Receipt for <br /> 0 Collect on Delivery Merchandise <br /> 2. Article Number(Transfer from service label) 0 Collect on Delivery Restricted Delivery 0 Signature Confirmation,. <br /> n'^wred Mail 0 Signature Confirmation <br /> 7 017 2400 0000 9119 1617 r d Mal Restricted Delivery 00) Restricted Delivery <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />