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Zoi�a� a <br /> SENDER: COMPLETE THIS SECTION COMPLETE THIS DELIVERY <br /> ■ Complete items 1,2,and 3. A. Signature <br /> ■ Print your name and address on the reverse X 0 Agent <br /> so that we can return the card to you. ddressee <br /> ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name)-7 <br /> ame) C. Date of Delivery <br /> or on the front if space permits. <br /> 1. D. Is delivery address different from item 1? ❑Yes <br /> If YES,enter delivery address below: ❑ No <br /> JOHN KUIJVENHOVEN <br /> 6�4 COUNTY ROAD 5 <br /> R GWAY, CO 81432 <br /> SON <br /> I I I I IIII III( ( I I I II I 'I I I'I I'I 3. dery Service at G&s� Mail Express® <br /> vP 1N1N <br /> ❑Adult Signature M ❑Registered MaiIT'" <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> 9590 9402 3770 8032 0346 12 ❑Certified Mail® Delivery <br /> ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationTM <br /> Hall ❑Signature Confirmation <br /> 7 017 2400 0000 9119 0 7 6 4 Oj A.il Restricted Delivery Restricted Delivery <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />