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r11 ' <br /> SENDER: DELIVERY <br /> ■ Complete items 1,2,and 3. A. Signature <br /> ■ Print your name and address on the reverse X [3 Agent <br /> so that we can return the card to you. ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. Date of Delivery <br /> or on the front if space permits. <br /> D. Is delivery address different from item 1? ❑Yes <br /> If YES,enter delivery address below: p No <br /> MR DANIEL CLARK <br /> BUCKLEN SERVICES COMPANY, INC. <br /> 804 NORTH 25TH AVENUE <br /> GREELEY, CO 80631 <br /> I I I I I I�I 'I I I I I I I(II I I III I I II I I 3. Service Type ❑Priority Mail Express® <br /> ❑Adult Signature ❑Registered MailTM <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> 9590 9402 3770 8032 0346 36 ❑Certified Mail® Delivery <br /> ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> El Collect on Delivery Merchandise <br /> 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery ❑Signature confirmationTM <br /> Nail ❑Signature Confirmation <br /> 7017 2400 0000 9119 0757 l it Restricted Delivery Restricted Delivery <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />