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Postal <br /> CEhTIFIED MAIL" RECEIPT <br /> Domestic Mail Only <br /> U-1 For <br /> `a 6/10/2020 <br /> rr1 Cart(ned Mall Fee <br /> r� $ <br /> rl _ <br /> Q EAfM SOVIC111111111 A OY!•(oINCA Onc dd kr ri 4gprynMY <br /> ❑Return Receipt(hardccpy) $_ __-_ <br /> ❑ <br /> Q Return Receipt(electronic) Postmark <br /> Q ❑Certified Mail Restricted Delivery $_ -. Here <br /> Q Adult Signature Raqul,ed $ <br /> Q AaLit Signature Restricted Delivery$ <br /> Q <br /> Postage -- <br /> -7- s. <br /> m Total Poetaga aindFees <br /> -o ' Scott D and Carrie M Koskie <br /> ....-.... .._... . _... <br /> $i'iuur and�y,r.Nu of Pb Box No. <br /> 14570 N CR 7 <br /> r` ,wry sr„ 2TYington CO 80549 <br /> PS Form 3800,April t7S30-02-000-4041- See Reverse tot Instructions <br /> S;ENDEq' • ON VeLIVERV <br /> ■ Complete items 1,2,and 3. A. Signatu+b (Pnnted� <br /> ■ Print your name and address on the reverse X ) ❑Agent <br /> so that we can return the card to you. _ 17 Addressee <br /> ■ Attach this card to the back of the mailpiece, B• eceive Name) C, ate of Delivery <br /> � ) <br /> or on the front if space permits. -�1 k L <br /> 1. Article Addressed to: D. Is delivery address different from item 1? O Yes <br /> If YES,enter delivery address below: [] No <br /> Scott D and Carrie M Koskie <br /> 14570 N CR 7 <br /> Wellington CO 80549 <br /> 3. Service Type ❑Ptionty Mad ExpRus'J <br /> I �IIIII I'll 'I I I I I I I�I I�� I III II I'I�II ❑Adult Signature ❑Registered it Mailt""1 rJ Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> Certified Mail® Delivery <br /> 9590 9402 1207 5246 0977 59 ❑Certified Mail Restricted Delivery Merchandise <br /> for <br /> _ ❑Collect on Delivery <br /> 2. Article Number(Transfer from service ldbe ❑Collect on Delivery Restricted Delivery 0 Signature ConfirmatlonTM <br /> n ❑Insured Mail ❑Signature Confirmation <br /> 70160340000001136581 ❑Insured Mail Restricted Delivery Restricted Delivery <br /> (over 8600) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />