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rllD' <br /> SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> Ill Complete Complete items 1,2,and 3. Signature <br /> ■ Print your name and address on the reverse X/- �7 ' q 0 Agent <br /> so that we can return the card to you. 0 Addressee <br /> • Attach this card to the back of the mailpiece, B. Received by(Printed ame) ,• C. Date of Delivery <br /> or on the front if space permits. A le . 1h <br /> 1. - —"— D. Is delivery addressrent from item 1? 0 Yes <br /> If YES,enter deliv dress below: 0 No <br /> Mr. Blayne Dennis ' <br /> 403 Taylor Street o /iqy <br /> Craig, CO 81625 '`e fit., <br /> "i I III 11111111 MIME <br /> IIIII I II 111 <br /> II I 3. Service Type G',9C, Priority Mail Express® <br /> 0 Adult Signature 0 Registered MailT'^ <br /> ❑Adult Signature Restricte 0 Registered Mail Restricted <br /> 9590 9402 4898 9032 9070 21 Certified Mail® <c`a n,Delivery <br /> 0 Certified Mail Restricted Delivery�y ' "Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2, Arrlrla Ni imber(Transfer from service label) 0 Collect on Delivery Restricted Delivery 0 Signature Confirmation <br /> 0 Insured Mail 0 Signature Confirmation <br /> 7 017 2400 0000 9119 0528 Restricted Delivery Restricted Delivery <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />